To study and compare the effectiveness of transobturator tape versus Kelly’s repair in the treatment of female stress urinary incontinence

Background: To compare the effectiveness of transobturator tape (TOT) versus Kelly’s repair in the treatment of female stress urinary incontinence.Methods: A retrospective experimental comparative study was conducted in the department of obstetrics and gynaecology in Lokmanya Tilak Municipal General Hospital, Mumbai, India from 2015 to 2016. A cohort of 60 patients was divided in two groups of 30 each. In group 1, patients who underwent transobturator tape fixation were included. In group 2 patients who underwent Kelly’s repair and outcomes were compared with a follow up of 1 year post surgery.Results: Out of 30 patients included in group 1, 29 slings were successful and 1 had a surgical failure in terms of persistence of stress incontinence whereas 3 had persistent symptom in group 2. 2 patients in group 1 and 4 in group 2 had urinary retention in the immediate postoperative phase. Dyspareunia occurred in 1 TOT patient and 3 Kelly’s repair. None had symptoms of overactive bladder in group 1, whereas group 2 had 1 patient with overactive bladder symptoms. None developed erosion in a 1 year follow up period.Conclusions: The transobturator approach is an effective treatment of SUI with higher cure rate, low morbidity, good patient satisfaction and faster recovery