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Korean Journal of Obstetrics & Gynecology 2008;51(9):1011-1017.
Published online September 1, 2008.
Clinical study of complications in the surgical management of stress urinary incontinence using Transobturator tape (TOT).
Cheol Hong Kim, Moon Kyoung Cho, Jong Woon Kim, Seok Mo Kim, Yoon Ha Kim, Sung Tack Oh, Tae Bok Song, Ho Sun Choi, Yu Il Lee
Department of Obstetrics and Gynecology, Chonnam National University Medical School, Gwangju, Korea. hongkim@chonnam.ac.kr
The purpose of this study was to evaluate the complications of Transobturator tape (TOT) in the surgical treatment for stress urinary incontinence and their management. METHODS: From March 2005 to October 2007, 206 patients diagnosed with stress urinary incontinence were operated using TOT at Chonnam National University Hospital. We reviewed medical records and analyzed the data according to age, parity, menopausal state, concomitant operations and complications. RESULTS: Mean age of the patients was 52.6+/-10.5 years and mean parity was 2.9+/-1.4. 91 patients (44.2%) were in postmenopausal state and 201 patients (97.6%) had other concomitant gynecologic operations. There were no intraoperative complications such as vaginal injury or bladder perforation. Postoperatively, there were 2 cases (1.0%) of vulva hematoma, 6 cases (2.9%) of urinary retention, 4 cases (1.9%) of de novo urgency and 4 cases (1.9%) of vaginal erosion. CONCLUSION: The surgical treatment using TOT is thought to be safe and effective means for the management of stress urinary incontinence. Although rare, complications may occur, therefore surgeons must be aware of the management of each complications.
Key Words: Stress urinary incontinence, Transobturator tape

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