• TO-TVTs have gained wide popularity over the last decade; the E-TOT study was the first high quality randomised trial of the two TO-TVT procedures. At 1-year follow-up, there was no statistically significant difference in patient-reported & objective success rates between both procedures.
• Long-term follow-up is essential if we are to know, not just wonder, how our surgery holds up over time.
• We aim to provide a 3-year evaluation of TO-TVT in the management of female stress urinary incontinence (SUI) comparing the two surgical transobturator approaches: Inside-out (TVT-O) versus Outside-in (TOT).
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