Ersin KÖSEOĞLU, Kayhan TARIM, Ömer ACAR, Tufan TARCAN
Journal of Urological Surgery - 2026;13(3):199-206
Objective: To evaluate the long-term outcomes of the transobturator mid-urethral sling (TO-MUS) procedure for the treatment of female stress urinary incontinence (SUI) when performed by a single surgeon using a standardized surgical technique and the same material. Materials and Methods: Patients (n=42) who underwent TO-MUS between 2006 and 2023 were retrospectively analyzed. Inclusion criteria were a diagnosis of urodynamic SUI confirmed by the International Continence Society Uniform Cough Stress Test and a minimum follow-up duration of 12 months. Treatment success was defined as no pad use and a negative response to item 6 of the International Consultation on Incontinence Questionnaire-Short Form. Patient satisfaction was assessed via structured telephone interviews. The treatment success and patient satisfaction rates were compared between patients with follow-up periods above and below ten years. Group 1 comprises patients with follow-up durations ranging from 12 to 120 months, while Group 2 consists of patients with follow-up durations of 121 months or more. Results: With a median follow-up of 125 months (range: 12-204). Group 1 (n=24) had a median follow-up duration of 69.5 months, while Group 2 (n=18) had a median follow-up duration of 154 months. TO-MUS was the primary intervention in 92.9% of patients. Across all patients, treatment success and patient satisfaction rates were 83.3% (35/42) and 92.8% (39/42), respectively. No statistically significant differences were observed between the two groups. De novo urgency was reported in 16.6% of patients; one patient experienced persistent voiding difficulty. Three patients (7.1%) required reoperation. No mesh-related complications were observed. Conclusion: This study presents one of the longest follow-up periods (more than 10 years) among single-surgeon, single-center TO-MUS case series. High long-term treatment success and satisfaction rates, together with low complication and reoperation rates support the durability and safety of the TO-MUS procedure in carefully selected patients when it is performed by experienced surgeons using standardized techniques and surgical materials.
