The Role of Transobturator Tape (TOT) Operation in the Treatment of Pelvic Organ Prolapse and Stress Urinary Incontinence

Aim: This study aimed to assess the efficacy and safety of the Transobturator Tape (TOT) procedure in treating stress urinary incontinence (SUI), both independently and when combined with pelvic floor reconstruction surgery. Method: In a retrospective analysis, data were collected from 251 female patients treated for SUI at Health Sciences University, İstanbul Bağcılar Training and Research Hospital, from April 2020 to April 2022. Patients were divided into two groups based on the surgical approach: TOT alone and TOT with pelvic reconstruction. The Patient Global Impression of Improvement (PGI-I) scale was used to evaluate patient-reported outcomes, measuring improvements in symptoms and quality of life post-surgery. Results: The results demonstrated a high success rate in SUI management, with a significant percentage of patients reporting the absence of incontinence after surgery. Notably, cases with TOT alone showed slightly higher success rates and patient satisfaction compared to those combined with pelvic reconstruction. The outcomes aligned with existing research, supporting TOT as an effective intervention in diverse surgical settings. Conclusion: TOT is a highly effective treatment for SUI, with its use either alone or in combination with pelvic reconstruction. The study emphasizes the importance of individualized surgical approaches based on patient-specific characteristics, highlighting the need for thorough preoperative assessments and patient counseling to optimize outcomes.