Transobturator tape (TOT) Approach in stress urinary incontinence (SUI) – outcome in obese female

Background: Only limited data are available on the outcome of tension-free obturator tape (TOT) procedures in overweight and obese women. We would like to verify the objective and subjective outcomes of TOT in women with a higher body mass index (BMI). Methods: We evaluated the records of 116 patients who had undergone TOT, stratifying by BMI into normal weight (n=31), overweight (n=56), and obese (n=29) groups. We compared preand postoperative evaluations, including subjective and objective outcome of TOT, complications, and quality of life assessed by validated questionnaires (ICIQ-SF and KHQ). Results: The median follow-up was 21 months. There were no significant differences between different groups in terms of objective cure rate and subjective success, quality of life scores and postoperative complications. Conclusions: Our data demonstrate that TOT procedure is safe and effective. BMI did not influence the outcome of TOT procedures at a median of 21 months after surgery and represents no contraindication for continence surgery.