{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T19:55:30Z","timestamp":1781812530900,"version":"3.54.5"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study compares medium\u2010term outcomes of retropubic tension\u2010free vaginal tape (TVT) and transobturator tape (TOT) for stress urinary incontinence (SUI), focusing on patient satisfaction and overactive bladder (OAB) symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This prospective, single\u2010surgeon cohort study included women with SUI who underwent TVT or TOT at a single center (July 2021\u2013October 2022). Follow\u2010up was conducted at 26\u201341\u2009months through chart review and patient interviews. Satisfaction was rated on a 0\u2013100% global scale (\u226575%\u2009=\u2009satisfied). Outcomes and complications followed International Continence Society criteria. Continuous variables were compared with the Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      \u2010test and categorical variables with Fisher's exact test. Sensitivity analysis addressed the effects of loss to follow\u2010up. Statistical significance was set at\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty\u2010three women (25 TVT, 28 TOT) completed follow\u2010up. Satisfaction (\u226575%) was reported by 88.0% of TVT and 89.3% of TOT patients (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009\u2248\u20091.00). Sensitivity analyses assuming all lost patients were satisfied or unsatisfied did not alter statistical significance (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009\u2248\u20091.00 and\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.54, respectively). Among women with pre\u2010existing overactive bladder, improvement in symptoms occurred in 78.3% (18\/23) of TVT and 61.1% (11\/18) of TOT patients (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.47). One bladder perforation occurred in the TVT group; other complications were infrequent and similar between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Both TVT and TOT provided high satisfaction and improvement in OAB symptoms at 26\u201341\u2009months, with low complication rates. These findings suggest that both procedures remain safe and effective in the medium term, reinforcing their established role in the surgical management of SUI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70849","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T09:51:16Z","timestamp":1770198676000},"page":"391-396","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Retropubic versus transobturator slings: Medium\u2010term satisfaction and overactive bladder outcomes"],"prefix":"10.1002","volume":"174","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9197-645X","authenticated-orcid":false,"given":"Erika","family":"Gandelsman","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Hillel Yaffe Medical Center  Hadera Israel"},{"name":"Rappaport Faculty of Medicine Technion Israel Institute of Technology  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3391-3491","authenticated-orcid":false,"given":"Jonatan","family":"Neuman","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Semmelweis University  Budapest Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4185-6671","authenticated-orcid":false,"given":"R\u00e9ka","family":"F\u00e1bi\u00e1n\u2010Kov\u00e1cs","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Semmelweis University  Budapest Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2788-8065","authenticated-orcid":false,"given":"Talia","family":"Friedman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology; Sheba Medical Center Tel Aviv University  Tel Aviv Israel"},{"name":"Faculty of Medicine Ariel University  Ariel Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0934-4240","authenticated-orcid":false,"given":"Menahem","family":"Neuman","sequence":"additional","affiliation":[{"name":"Urogynecology and Pelvic Floor Medicine, Medical School Bar\u2010Ilan and the Negev Universities  Haifa Israel"},{"name":"Assuta Medical Centers  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2207-0259","authenticated-orcid":false,"given":"Benjamin","family":"Feiner","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Hillel Yaffe Medical Center  Hadera Israel"},{"name":"Rappaport Faculty of Medicine Technion Israel Institute of Technology  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,4]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD006375.pub4"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01902378"},{"key":"e_1_2_10_4_1","first-page":"1306","article-title":"Transobturator urethral suspension: mini\u2010invasive procedure in the treatment of stress urinary incontinence in women","volume":"11","author":"Delorme E","year":"2001","journal-title":"Progr\u00e8s en Urologie"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2003.09.003"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0912658"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2006.01097.x"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2007.01548.x"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euros.2023.05.013"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10397-010-0635-7"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0090-4295(02)02243-4"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-009-1069-5"},{"key":"e_1_2_10_13_1","unstructured":"The jamovi project.jamovi (Version 2.6) [Computer Software].2024https:\/\/www.jamovi.org"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-025-06212-z"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-023-05527-z"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2014.01.031"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2007.04.059"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-017-3417-1"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2011.02915.x"}],"container-title":["International Journal of Gynecology &amp; 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