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Abstract
Background: Stress
urinary incontinence is the
complaint of involuntary leakage
on effort or exertion or on
sneezing or coughing.
Objectives:
To evaluate the effectiveness
of transobturator approach
in the treatment of female
stress urinary incontinence
and to analyze functional
results.
Materials
and methods: We retrospectively
reviewed all medical files
of patients presenting with
urinary incontinence to our
Urology Center in Aden, Yemen,
over a 2-year period. There
were 42 patients treated with
TOT and the postoperative
follow up of the patients
was at least 10 months. The
collected data were tabulated
and statistical analysis was
done by estimating rates,
means and standard deviations.
Results:
The age of the patients ranged
between 40 to 80 years and
their mean age was 62.1 ±
9.7 years. We grouped the
study patients in two age
groups, 60 years and >
60 years.
We
found the patients of the
age group > 60 years were
(57.1%) while the patients
of the age group 60 years
were (42.9%).
The
mean weight of the patients
is 67.5 ± 7.0 kilograms
(kg).
We
categorized the number of
vaginal deliveries in 2 groups:
5 – 7 vaginal deliveries
were (31.0%), and 8 –
10 vaginal deliveries (69.0%).
The Mean number of vaginal
delivery was 8.0 ±
1.2.
Concomitant
operations were posterior
colpotomy (7.0%) and anterior
colpotomy (4.8%). The Mean
operative time was 48 ±
8.9 minutes.
Four
cases developed complications,
(4.8%) major bleeding; (2.4%)
of them had bladder injury
and (2.4%) urine retention.
Additionally, (93.0%) of the
outcome of operated women
were with excellent success
while those with failed results
were (7.0%).
Conclusion:
The transobturator approach
is an effective treatment
of stress urinary incontinence
with low morbidity and with
acceptable success and outcome.
Keywords:
Stress urinary incontinence,
transobturator approach, Aden,
Yemen
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