Transobturator Tape and Kelly’s Plication Procedures Comparison: A Case-Control Study with One-Year Follow-Up

Objective: To investigate the factors that may affect urinary incontinence and compare the outcomes of surgical methods used to treat it, specifically Transobturator Tape (TOT) and Kelly’s plication procedures. Method: The data of 213 patients who underwent TOT and Kelly’s Plication procedures for urinary incontinence at the Department of Obstetrics and Gynecology, Gaziantep University Faculty of Medicine, between January 2016 and December 2021, were retrospectively analyzed with consideration of their evaluations one year postoperatively. The patients were divided into two groups: those who underwent TOT and those who underwent Kelly’s’s Plication. The differences between the two groups were evaluated. Subsequently, the urinary incontinence complaints of both groups were assessed one year later, and the risk factors for patients whose complaints persisted were examined using logistic regression analysis. Results: One year postoperatively, the success of the TOT procedure was higher than that of the Kelly’s’s Plication. However, multivariate regression analysis revealed that patients who underwent the TOT procedure had a higher likelihood of persistent complaints compared to those who underwent Kelly’s’s Plication (OR: 2.07 [1.12-3.93], P=0.02). While there was a significant difference between the two groups in terms of parity and gravidity, no significant differences were observed in terms of age, BMI, menopausal status, type of urinary incontinence, and the presence of chronic diseases. Conclusion: The success rate of the TOT procedure was found to be higher compared to Kelly’s’s Plication. However, regression analysis indicated that patients who underwent the TOT procedure were more likely to have persistent urinary incontinence complaints. Keywords: Urinary Incontinence, Stress Urinary Incontinence , Transobturator Tape, Kelly’s’s Plication