Objective: The rational of the surgical treatment of female stress urinary incontinence has changed over the past few years. The techniques of colposuspension have been replaced by the suburethral slings, retropubic initially with the TVT and then, the suburethral transobturator tape (TOT), introduced to reduce the complications of the TVT. It is thus difficult to currently have an objective idea of the effectiveness of the TOT compared to the TVT, even if the first impressions, with respect to the TOT, are rather favourable. The objective of this study is to present the feasibility, short-and long-term results of the surgical treatment of stress urinary incontinence by TOT tape. Materials and methods:This retrospective study involved all patients who were surgically treated for incontinence by TOT tape according to the OUT-IN method, based on polypropylene monofilament sling.Results: Two hundred patients were involved. All patients were urodynamically diagnosed with stress urinary incontinence. Renal and bladder ultrasound was systematically requested in order to avoid any anomalies of the lower urinary tract. The mean duration of intervention is 25 minutes, and a duration of hospitalization between 3 and 5 days. 82% of patients regained normal continence with no evidence of urgency with improvement of quality of life. Only 15 cases of dysuria were reported that regressed spontaneously, 11 cases of vaginal erosion and only two cases of de novo-urge. Conclusion:The TOT is an excellent procedure for the definitive surgical treatment, given that the results are satisfactory, whether anatomically or functionally.

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