{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T01:13:44Z","timestamp":1784855624510,"version":"3.55.0"},"reference-count":20,"publisher":"FapUNIFESP (SciELO)","issue":"9","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"abstract":"<jats:p>SUMMARY  OBJECTIVE: Urinary incontinence is more common in women than men; additionally, prevalence rises in elderly women. This study was conducted to compare the 10-year results of tension-free transvaginal tape and transobturator tape operations in terms of urinary incontinence and quality of life in women.  METHODS: Women who underwent transvaginal tape and transobturator tape operations in the urogynecology department at Istanbul Kanuni Sultan S\u00fcleyman Training and Research Hospital between January and December 2013 were retrospectively screened. The Urogenital Distress Inventory-6 and King's Health Questionnaire were applied to volunteers who could be reached via phone between January 2023 and July 2023 to evaluate urinary incontinence and quality of life.  RESULTS: Of the 117 volunteers who were included in the study, 28 underwent transvaginal tape and 89 underwent transobturator tape operations. A statistically significant difference in favor of transvaginal tape was found between the two groups in terms of relief from postoperative stress urinary incontinence and pelvic pain (p&lt;0.05). When transvaginal tape and transobturator tape groups were compared according to Urogenital Distress Inventory-6 and King's Health Questionnaire, no statistically significant difference was found (p&gt;0.05). Although it is not statistically significant, it can be thought that transvaginal tape is superior than transobturator tape in terms of quality of life, by patient satisfaction with minimal clinically important difference.  CONCLUSION: Although there is no long-term statistical difference in terms of quality of life between transvaginal tape and transobturator tape surgery, the transvaginal tape procedure was more successful in the long term, subjectively, in terms of stress urinary incontinence and postoperative pelvic pain among women.<\/jats:p>","DOI":"10.1590\/1806-9282.20250355","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T15:03:23Z","timestamp":1760713403000},"source":"Crossref","is-referenced-by-count":1,"title":["Comparison of tension-free transvaginal tape and transobturator tape in terms of urinary incontinence and quality of life among Turkish women"],"prefix":"10.1590","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3296-8887","authenticated-orcid":false,"given":"Pakize \u00d6zge","family":"Karkin","sequence":"first","affiliation":[{"name":"University of Health Sciences,  Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2961-9221","authenticated-orcid":false,"given":"G\u00f6zde","family":"Sezer","sequence":"additional","affiliation":[{"name":"Celal Bayar University,  Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5705-423X","authenticated-orcid":false,"given":"Nehir","family":"Pi\u015fkin","sequence":"additional","affiliation":[{"name":"University of Health Sciences,  Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6119-1734","authenticated-orcid":false,"given":"Demet","family":"Yilmaz","sequence":"additional","affiliation":[{"name":"Sisli-16 Family Medicine Health Center,  Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","series-title":"Incontinence: 7th \u0131nternational consultation on incontinence","first-page":"13","volume-title":"Epidemiology of urinary incontinence (UI) and other lower urinary tract symptoms (LUTS), pelvic organ prolapse (POP) and anal incontinence (AI)","author":"Altman D","year":"2023","edition":"7th ed."},{"issue":"10","key":"ref2","doi-asserted-by":"crossref","first-page":"2509","DOI":"10.1111\/jog.15742","article-title":"Menopause and stress urinary incontinence: the risk factors of stress urinary incontinence in perimenopausal and postmenopausal women","volume":"49","author":"Huang H","year":"2023","journal-title":"J Obstet Gynaecol Res"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1007\/s00192-009-0976-9","article-title":"An International Urogynecological Association (IUGA)\/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction","volume":"21","author":"Haylen BT","year":"2010","journal-title":"Int Urogynecol 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mix-method study","volume":"11","author":"Yalaz\u0131 R\u00d6","year":"2025","journal-title":"Front Med (Lausanne)"},{"key":"ref8","series-title":"NICE guidelines, updated 2023","year":"2012"},{"issue":"7","key":"ref9","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1007\/s00192-011-1366-7","article-title":"Patient satisfaction after retropubic and transobturator slings: first assessment using the Incontinence Outcome Questionnaire (IOQ)","volume":"22","author":"Betschart C","year":"2011","journal-title":"Int Urogynecol J"},{"issue":"1","key":"ref10","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1002\/nau.20292","article-title":"Validation of the short forms of the incontinence impact questionnaire (IIQ-7) and the urogenital distress inventory (UDI-6) in a Turkish population","volume":"26","author":"Cam C","year":"2007","journal-title":"Neurourol Urodyn"},{"issue":"3","key":"ref11","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1007\/s10072-011-0484-9","article-title":"Quality of life in multiple sclerosis patients with urinary disorders: reliability and validity of the Turkish version of King's Health Questionnaire","volume":"32","author":"Akkoc Y","year":"2011","journal-title":"Neurol Sci"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.ejogrb.2015.08.014","article-title":"Relationship between BMI and three different devices used in urinary incontinence procedures and anatomical structures in fresh cadavers. A pilot study","volume":"194","author":"Haddad JM","year":"2015","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"2293","DOI":"10.2147\/TCRM.S169014","article-title":"TVT versus TOT in the treatment of female stress urinary incontinence: a systematic review and meta-analysis","volume":"14","author":"Huang ZM","year":"2018","journal-title":"Ther Clin Risk Manag"},{"issue":"4","key":"ref14","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1007\/s11255-010-9708-9","article-title":"TVT vs. TOT: a comparison in terms of continence results, complications and quality of life after a median follow-up of 48 months","volume":"42","author":"Zugor V","year":"2010","journal-title":"Int Urol Nephrol"},{"issue":"5","key":"ref15","doi-asserted-by":"crossref","first-page":"1376","DOI":"10.1016\/j.eururo.2006.10.066","article-title":"One-year follow-up of tension-free vaginal tape (TVT) and trans-obturator suburethral tape from inside to outside (TVT-O) for surgical treatment of female stress urinary incontinence: a prospective randomised trial","volume":"51","author":"Zullo MA","year":"2007","journal-title":"Eur Urol"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1186\/1472-6874-11-34","article-title":"Surgical management of stress urinary incontinence in women: safety, effectiveness and cost-utility of trans-obturator tape (TOT) versus tension-free vaginal tape (TVT) five years after a randomized surgical trial","volume":"11","author":"Ross S","year":"2011","journal-title":"BMC Womens Health"},{"issue":"6","key":"ref17","doi-asserted-by":"crossref","first-page":"1287","DOI":"10.1097\/AOG.0b013e3181c2a151","article-title":"Transobturator tape compared with tension-free vaginal tape for stress incontinence: a randomized controlled trial","volume":"114","author":"Ross S","year":"2009","journal-title":"Obstet Gynecol"},{"issue":"6","key":"ref18","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1007\/s00192-015-2902-7","article-title":"Transobturator tape versus retropubic tension-free vaginal tape for stress urinary incontinence: 5-year safety and effectiveness outcomes following a randomised trial","volume":"27","author":"Ross S","year":"2016","journal-title":"Int Urogynecol J"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1016\/j.ejogrb.2020.12.005","article-title":"TVT or TVT-O? - A systematic review and meta-analysis comparing efficacy, complications and re-operations","volume":"258","author":"Elers J","year":"2021","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"4","key":"ref20","first-page":"227","article-title":"Suburethral tape via the obturator route: is the TOT a simplification of the TVT?","volume":"15","author":"Mellier G","year":"2004","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"}],"container-title":["Revista da Associa\u00e7\u00e3o M\u00e9dica Brasileira"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0104-42302025000900608&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T15:03:26Z","timestamp":1760713406000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-42302025000900608&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":20,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2025]]}},"alternative-id":["S0104-42302025000900608"],"URL":"https:\/\/doi.org\/10.1590\/1806-9282.20250355","relation":{},"ISSN":["1806-9282","0104-4230"],"issn-type":[{"value":"1806-9282","type":"electronic"},{"value":"0104-4230","type":"print"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e20250355"}}