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OBJECTIVES: 1. To evaluate the effectiveness of Trans-Obturator vaginal tape in the treatment of genuine female urinary stress incontinence. 2. To analyze functional results and quality of life after 12 months follow up. DESIGN: Prospective Observational study. METHODS: 25 women with clinical and urodynamic features of genuine stress incontinence fulfilling the inclusion and exclusion criteria were enrolled in this study and underwent TOT operation. The follow-up was done upto 12 months subjectively by UDI-6 and objectively by UDS and physical examination. Chi square test, Wilcoxan matched pair test was used for statistical analysis. A value was considered statistically significant at p < 0.05. RESULTS: Our objective assessment demonstrated 100% cure rate after 12 months. However, the subjective assessment using the UDI-6 demonstrated 90% cure or improvement rate after 12 months. CONCLUSION: The outside to in Trans-Obturator approach is a

TRANSOBTURATOR TENSION FREE SLING OPERATION FOR FEMALE GENUINE STRESS INCONTINENCE - OUR EXPERIENCE