Objective: To determine whether there are any differences in the results and complications of the treatment of stress urinary incontinence (SUI) using transobturator tapes (TOT) according to the insertion route: outside-in or inside-out. Material and methods: We performed a prospective cohort study of 254 patients treated through TOT for SUI. The insertion route was outside-in in 129 patients and inside-out in 125 patients. The results at 6 and 12 months and intraand post-operative complications were analyzed. Results: No differences were found in the results at 6 and 12 months according to the insertion route. In the early post-operative period, urinary retention was more frequent in women treated with the inside-out route (P=.02). No differences were found in the remaining complications studied. Conclusions: Our experience shows that similar results are obtained with both transobturator routes. However the occurrence of complications was slightly higher with the inside-out technique. © 2008 Sociedad Española de Ginecología y Obstetricia.
- Bladder injuries
- Stress urinary incontinence
- Transobturator tensionfree vaginal tapes
- Urinary retention
Sabadell, J., Luis Poza, J., Sánchez-Iglesias, J. L., Martínez-Gómez, X., Pla, F., & Xercavins, J. (2008). Comparison of the outside-in and inside-out routes in the use of transobturator tapes for the treatment of stress urinary incontinence. Progresos en Obstetricia y Ginecologia, 51(8), 464-470. https://doi.org/10.1016/S0304-5013(08)72315-X