Revista da Associacao Medica Brasileira (1992), Volume 71, Issue 9, 17 3 2025, Pages e20250355 Comparison of tension-free transvaginal tape and transobturator tape in terms of urinary incontinence and quality of life among Turkish women. Karkin PÖ, Sezer G, Pişkin N, Yilmaz D
Objective
Urinary incontinence is more common in women than men; additionally, prevalence rises in elderly women. This study was conducted to compare the 10-year results of tension-free transvaginal tape and transobturator tape operations in terms of urinary incontinence and quality of life in women.
Methods
Women who underwent transvaginal tape and transobturator tape operations in the urogynecology department at Istanbul Kanuni Sultan Süleyman Training and Research Hospital between January and December 2013 were retrospectively screened. The Urogenital Distress Inventory-6 and King's Health Questionnaire were applied to volunteers who could be reached via phone between January 2023 and July 2023 to evaluate urinary incontinence and quality of life.
Results
Of the 117 volunteers who were included in the study, 28 underwent transvaginal tape and 89 underwent transobturator tape operations. A statistically significant difference in favor of transvaginal tape was found between the two groups in terms of relief from postoperative stress urinary incontinence and pelvic pain (p<0.05). When transvaginal tape and transobturator tape groups were compared according to Urogenital Distress Inventory-6 and King's Health Questionnaire, no statistically significant difference was found (p>0.05). Although it is not statistically significant, it can be thought that transvaginal tape is superior than transobturator tape in terms of quality of life, by patient satisfaction with minimal clinically important difference.
Conclusion
Although there is no long-term statistical difference in terms of quality of life between transvaginal tape and transobturator tape surgery, the transvaginal tape procedure was more successful in the long term, subjectively, in terms of stress urinary incontinence and postoperative pelvic pain among women.
