The impact of the tension free vaginal tape-obturator (TVTO)‎ procedure on incontinence intensity & quality of life, experience at King Hussein Medical Center

Abstract EN

Objective: To assess the benefits and complications of tension free vaginal tape-obturator surgical application after twelve months follow up.

Methods: This prospective investigation included 324 female patients, aged 41-62 years and diagnosed of moderate to severe pure or mixed stress urinary incontinence with mainly stress incontinence who were scheduled for tension free vaginal tape-obturator surgical application method at King Hussein hospital, King Hussein medical center, Amman, Jordan, during the period Jan 2009 - Jan 2014.

Pre-operative assessment included intensity of stress urinary incontinence and post- void residual recording, while post- operative assessment included complications, intensity of urinary stress incontinence and quality of life.

Incontinence impact scale on quality of life was used.

The intensity of urinary incontinence was classified according to the Stamey incontinence score.

Results: Twenty eight cases (8.6%) experienced anterior vaginal wall prolapse (stage 2 and 3 anterior wall prolapse).

There was a significant difference between pre- and post- operative stress urinary incontinence intensity and quality of life scores.

(P < 0.05).

No significant intraoperative complications were recorded but postoperatively 29 patients (8.95%) experienced pain in the inner part of the thigh.

The cure rate was 81.5 %( 264) and the incontinence episodes were improved in 35 cases (10.8%), while the procedure was labeled failed in 25 cases (7.7%).

Conclusion: The tension free vaginal tape-obturator surgical application method is a safe and beneficial management of female stress urinary incontinence with a significant success rate and reduced post- operative complications.