To compare the 1-year and 5-year outcomes of transobturator tension-free vaginal tape with outside-in and inside-out approaches in women with urinary stress incontinence, and to identify risk factors for treatment failure at 5 years.A prospective observational study was carried out for women with urinary stress incontinence who underwent transobturator tension-free vaginal tape from September 2004 to March 2008 in a tertiary urogynecology center. Women (n = 213) had either an outside-in (n = 124) or inside-out (n = 89) procedure. They were followed up annually until 5 years after the operation. Subjective cure was defined as women not experiencing any urine loss on physical activity. Objective cure was defined as no urine leak at cough during a standard urodynamic study.At a mean follow up of 59.2 months, the subjective cure rates were 81.7

作者：Rachel Yau Kar, Cheung；Symphorosa Shing Chee, Chan；Ka Wah, Yiu；Tony Kwok Hung, Chung

来源：International journal of urology : official journal of the Japanese Urological Association 2014 年 21卷 1期