[The] efficacy of transobturator tape [tot] in treatment of mixed urinary incontinence in females

Background: mixed urinary incontinence [MUI] is defined as the complaint of involuntary loss of urine, associated with urgency and also with effort. Urodynamic studies [UDS] are widely considered the gold standard investigation for determining the type of incontinence

Aim of the Work: It evaluates the safety and efficacy of transobturator tape [TOT] procedure in treatment of women with mixed urinary incontinence

Patients and Methods: this study was carried out at Ain Shams Urology Department and National institute of urology and nephrology in the period from October 2017 to may 2018. This Study included 20 female patients with MUI who failed to respond to medical treatment and other forms of conservative methods. Post operative evaluation was carried out at 2 weeks, 3, and 6 months following operation

Results: Our study showed statistically significant cure rate for urge component 12 cases [60%], and also significant cure rate for stress component 17 cases [85%], no statistically significant difference in the cure rate depending on the age factor by dividing the patients into two groups group below forty [11 cases] and group above forty [9 cases]

Conclusion: our study showed statistically significant cure rate for urge component 12 cases [60%], and also significant cure rate for stress component 17 cases [85%]. The limitations in our study were small number of patients and short time of postoperative follow-up. We advocate that the TOT procedure should always be tried in the management of mixed urinary incontinence in female population as it is an effective and simple procedure

Localization of nonpalpable testes using computed tomography

Computed tomography was performed on 8 patients with 9 non-palpble testes. Patients age was ranging from 8 to 47 years. Computed tomography could localize the site of the impalpable testes in 7 patients and in one patient the testis could not be localized and considered to be absent. The results of computed tomography was confirmed by surgical exploration which proved proper assessment in all cases, except one patient when the testis found abdominaly and interpreted by tomography to be absent. C.T. now permits accurate pre-operative localization of the impalpable testes and aids in accurate planning of the operative repair, thereby improving the ultimate results