Tension-free transvaginal (TVT) and transobturator (TOT) tapes in women with multiple failed incontinence procedures or complex urogynaecological intervention

TVT/TOT cured SUI in 86% of patients with multiple SUI procedures or complex urogynaecological intervention, with minimal morbidity. Subjective outcomes were less than objective outcomes mainly due to urgency. The TOT route reduced the risk of bladder injury and de novo urgency. Type III SUI on preoperative urodynamics predicted failure.