Transobturator sling for women: outside-in versus inside-out technique (TOT vs TVT-O)

Matkovsky I.A., Bababevskaya D.I., Belokopytova A.O., Drenina D.A., Alekseeva M.Yu., Snurnitsyna O.V., Shpikina A.D., Vorobyov A.A., Rapoport L.M., Enikeev M.E.

1) Institute for Clinical Medicine, Sechenov University, Moscow, Russia; 2) Institute for Urology and Reproductive Health, Sechenov University, Moscow, Russia; 3) Clinical Institute of Children’s health, Sechenov University, Moscow, Russia

Stress urinary incontinence (SUI) is a common problem in women, significantly reducing the quality of life. The main surgical method for SUI correction is the installation of a midurethral sling using a transobturator approach. The main techniques for performing this operation are outside-in (TOT) and inside-out (TVT-O). This paper presents a literature review devoted to a comparative assessment of the effectiveness and safety of these surgical approaches, with the aim of identifying possible differences in clinical outcomes and complication rates.

Keywords

About the Authors

Corresponding author: D.I. Babaevskaya – urologist, post-graduate student of Institute for Urology and Reproductive Health, Sechenov University, Moscow, Russia; e-mail:dianababaevskaya@gmail.com

Similar Articles