TransObturatorTape (TOT) is a surgical technique for the correction of stress urinary incontinence
(SUI). We report our experience about clinical outcomes and quality of life of patients who underwent
TOT. We collected clinical and instrumental data about 27 patients who underwent TOT during 2006-
2007, and investigated their quality of life using the King’s Health Questionnaire (KHQ). We analysed
data by R (version2.7.0), considering significant p<0.05.Mean age at surgery was 62.81years (range 39-
83), mean BMI was 29.31kg/mq (±7.74). 85.19% of patients were in menopause (73.91% spontaneous).
Mean parity was 2.19 (±1.11) and only two women were nulliparous. 44.44% of patients had at least one
previous gynaecological intervention (34.62% hysterectomy). Relapse prevalence was 44.44%,
correlated with higher (worse) KHQ scores (p<0.05), and affected especially women with a mixed
urinary incontinence (MUI) (p0.09) or with a coexistent genital prolapse (p<0.05). TOT improved women
quality of life, independently by relapse or by the presence of a MUI (p<0.05). Previous gynaecological
interventions, and in particular hysterectomy followed by SUI, resulted protective against symptom
relapse.TOT does not resolve urge component in case of MUI and may cause urge incontinence after
SUI correction. Anyway, women quality of life results strongly improved by TOT, even in case of
relapse.
