International Urogynecology Journal

, Volume 21, Issue 2, pp 173–178

The role of urethral hypermobility and intrinsic sphincteric deficiency on the outcome of transobturator tape procedure: a prospective study with 2-year follow-up

  • Berna Haliloglu
  • Ates Karateke
  • Hakan Coksuer
  • Hakan Peker
  • Cetin Cam
Original Article


Introduction and hypothesis

The aim of this study is to investigate the effect of intrinsic sphincter deficiency (ISD) and urethral hypermobility on the outcome of the transobturator tape (TOT).


Sixty-five women were divided into three groups: group I, ISD with hypermobile urethra (n = 18); group II, ISD with fixed urethra (n = 16); and group III, hypermobile urethra without ISD (n = 31). Cure of stress urinary incontinence was defined if the patient had negative cough stress test. Cure and improvement rates were compared at 6, 12, and 24 months.


The cure and improvement rates of groups I and III were similar at 6, 12, and 24 months (96.1% vs 96.6%, 96.1% vs 96.6%, and 87.5 vs %96.4%, respectively). Group II had the lowest cure and improvement rates (68.7%, 66.7%, and 66.7%, respectively).


A lack of urethral hypermobility may be a risk factor for TOT failure.


Stress urinary incontinence Transobturator tape (TOT) Urethral hypermobility Valsalva leak point pressure (VLPP) 



transobturator tape


intrinsic sphincter deficiency


stress urinary incontinence


Valsalva leak point pressure


tension-free vaginal tape


detrusor overactivity


overactive bladder


pelvic organ prolapse quantification


Incontinence Impact Questionnaire


Urogenital Distress Inventory


body mass index


International Continence Society


maximal urethral closure pressure


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Copyright information

© The International Urogynecological Association 2009

Authors and Affiliations

  • Berna Haliloglu
    • 1
  • Ates Karateke
    • 2
  • Hakan Coksuer
    • 3
  • Hakan Peker
    • 4
  • Cetin Cam
    • 5
  1. 1.Division of Urogynecology, Department of Obstetrics and Gynecology, Faculty of MedicineMaltepe UniversityIstanbulTurkey
  2. 2.Division of Urogynecology, Department of Obstetrics and Gynecology, Faculty of MedicineYeditepe UniversityIstanbulTurkey
  3. 3.Department of Obstetrics and Gynecology, Faculty of MedicineDumlupınar UniversityKutahyaTurkey
  4. 4.Department of Obstetrics and GynecologyGediz State HospitalKutahyaTurkey
  5. 5.Division of Urogynecology, Department of Obstetrics and GynecologyZeynep Kamil Women and Children Diseases Education and Research HospitalIstanbulTurkey

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