Özet:

Purpose: In the trans obturator tape (TOT) applications which are widely used in the treatment of urine incontinence of stress can develop excessive erosions that require excision. In our study, we identified the vaginal flep method placed under the suburetral sling that we developed for the purpose of preventing the erosion of the urethra that may be associated with the application of TOT and evaluated the patients in terms of postoperative complications. In our study, between December 2014 and May 2018, at the same session in our hospital, 22 patients with TOT and systosal surgery and the fetus formed from the vaginal mucosa were retrospective examined, placed in front of the urethra and under the mouth. Patients were evaluated in terms of uretral mouth erosion, vaginal mouth erosion, urgency and disparonian complaints, urine retention and secondary surgical need. Results: The average postoperative tracking period of patients was 8.95±8.45 months. 20 patients in the same session were subjected to TOT and systosal surgery (90%,9), 2 patients in the same session were subjected to vaginal hysterectomy, TOT and systosal surgery (9.1%). During the follow-up period, no patient has developed urethral erosion. Only a patient in menopause also had a complaint of vaginal mesh erosion and disparonia. In another patient, urine retention and swelling incontinence developed. This patient was subjected to vaginal hysterectomy, TOT and systosal surgery at the same session. The patient was later removed. The outcome: The surgical technique applied in our cases has kept the urethra erosion at a minimum level, as well as the urethra erosion at a minimum level for an average of 9 months.   by n