Long-Term Outcomes and Risk Factors for Failure After Transobturator Tape Surgery in Women With Stress Urinary Incontinence

The authors aimed to evaluate the long-term outcomes of transobturator tape (TOT) surgery for stress urinary incontinence (SUI) in women, identify predictors of surgical failure, and assess failure-free survival rates. The study found a 74.3% overall surgical success rate, with higher parity, greater baseline symptom severity, and lower abdominal leak point pressure identified as independent predictors of failure. Most recurrences occurred within the first 18 months post-surgery, highlighting the need for careful patient selection and follow-up.