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All Journal Althea Medical Journal Medical Journal of Indonesia Majalah Obstetri dan Ginekologi Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Jurnal Ilmiah Kesehatan ISM (Intisari Sains Medis) : Jurnal Kedokteran Medica Hospitalia Andalas obstetrics and gynecology journal Narra J eJournal Kedokteran Indonesia Mandala of Health : A Scientific Journal Cermin Dunia Kedokteran
Surahman Hakim
Departement Of Obstetrics And Gynecology, Faculty Of Medicine, Universitas Indonesia - RSUPN Cipto Mangunkusumo
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Improving quality of life for patients with stress urinary incontinence (SUI) : The impact of transobsturator tape surgery measured with SUI severity Dhian Eka Putri Harnandari; Surahman Hakim
Majalah Obstetri & Ginekologi Vol. 34 No. 2 (2026): August
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V34I22026.107-114

Abstract

HIGHLIGHTS Transobturator tape (TOT) surgery resulted in a high short-term subjective and objective cure rate (87.5%) and a 100% improvement rate in Indonesian women with moderate-to-severe stress urinary incontinence. This study provides the first objective, pad-test–based evidence demonstrating the effectiveness and safety of TOT surgery in an Indonesian population treated at a national referral center. The significant reduction in SUI severity observed after TOT surgery supports its clinical applicability and reinforces its role as a primary surgical option for stress urinary incontinence in resource-diverse settings.   ABSTRACT Objective: Stress urinary incontinence (SUI) is a common condition that significantly impairs women's quality of life. Although the transobturator tape (TOT) procedure is an established surgical treatment for SUI, evidence regarding its outcomes in the Indonesian population remains limited. This study evaluated the effectiveness and safety of TOT surgery in Indonesian women with moderate-to-severe SUI. Materials and Methods: A retrospective single-arm pre-post cohort study was conducted on women who underwent TOT surgery between January 2021 and December 2023 at Dr. Cipto Mangunkusumo Hospital, Jakarta. Subjective and objective outcomes were assessed using the International Consultation on Incontinence Questionnaire–Urinary Incontinence Short Form (ICIQ-UI SF) and the one-hour pad test before surgery and 3 months postoperatively. Data were analyzed using paired-samples t-test or Wilcoxon signed-rank test. Results: Sixteen patients met the inclusion criteria, comprising 8 patients with moderate SUI and 8 with severe SUI. The mean age was 55.6 ± 8.2 years, and the mean body mass index was 27.1 ± 3.5 kg/m². At 3 months, 14 patients (87.5%) achieved objective cure, while the remaining two (12.5%) improved from severe to mild SUI. Median pad test weight decreased significantly from 42.5 g (IQR: 16.5–68.5) to 2.0 g (IQR: 1.0–4.5) (p < 0.001). No major intraoperative complications occurred, and all patients reported complete resolution of subjective symptoms based on ICIQ-UI SF assessment. Conclusion: TOT surgery is a safe and highly effective treatment for moderate-to-severe SUI in Indonesian women, providing excellent short-term objective and subjective outcomes and supporting its broader implementation in clinical practice.  
Co-Authors Abdullah, Muhammad Raoul Taufiq Abraham A.L. Maukar Adib Kamil Putra Kadarusman Adib Kamil Putra Kadarusman Alfa Putri Meutia Ali Sungkar Amelia, Safira Andrew Pratama Kurniawan Armita, Nurdarlila Arufiadi Anityo Mochtar Asih Anggraeni As’syifa, Salsa Billa Azzahra, Kayla Rianna Bimanugraha, Bimanugraha Binathara, Geraldus Sigap Gung Bobby I Utama Bobby I Utama, Bobby I Budi I Santoso Budi I Santoso Budi I Santoso, Budi I Budi I. Santoso Budi I. Santoso Budi I. Santoso Budi Iman Santoso Chairul Rijal Chan, Muhammad SN. Cut R Maharani Dhian Eka Putri Harnandari Djusad, Suskhan Ekaputra, Fajar Ermawati Ermawati Erwinanto Erwinanto Erwinanto Fadhly, RM Ali Fajar Ekaputra Fakhrizal, Edy Fernandi Moegni Firdaus, Karina K Fitriyadi Kusuma Fuady, Dzicky Rifqi Geraldus Sigap Gung Binathara Hadinata, Valencia Hansens Yansah Harrina E. Rahardjo Hidayah, Gita Nurul Joedo Prihartono Junizaf Junizaf Junizaf Junizaf Kadarusman, Adib Kamil Putra Karina K Firdaus Kemal Akbar Suryoadji Kurniawan, Andrew P. Leonardo Leonardo M Thohar Arifin Maharani, Cut R Mardhiyah, Tha’atam Maryuni, Sri W. Meutia, Alfa P. Mutia, Alfa P. Nurhadi Ibrahim Priyantini, Tyas Putri Nadhira Adriansyah Raymond Surya Raymond Surya Raymond Surya Raymond Surya Raymond Surya Rizki Fauzi Suskhan Roziana Roziana, Roziana Rufi'i Safira Amelia Salsa Billa As’syifa Shirley Anggraini Tunggadewi Siti Setiati Suryoadji, Kemal Akbar Tanoto, Kevin Tyas Priyatini Valencia Hadinata Widjajalaksmi Kusumaningsih, Widjajalaksmi Wiguna, Igor Ian Wresti Indriatmi B. Makes Zahra, Reihana