Short-Term Outcomes of TOT, TVT, and Burch Surgery Assessed by Transperineal Ultrasound

Comparison of Anatomical and Subjective Short-term Outcomes of TOT, TVT, and Burch Colposuspension: A Randomized Controlled Trial Using Transperineal Ultrasound

Stress urinary incontinence is a common condition in women and is often treated with surgical procedures such as transobturator tape (TOT), tension-free vaginal tape (TVT), and Burch colposuspension. Although these procedures are widely used, there is limited information comparing their short-term anatomical and patient-reported outcomes using imaging techniques.

The aim of this study is to compare the short-term anatomical and subjective outcomes of TOT, TVT, and Burch colposuspension in women with stress urinary incontinence. Transperineal ultrasonography will be used to assess anatomical changes before surgery and during follow-up. Patient-reported outcomes and clinical findings will also be evaluated.

The results of this study may help improve the understanding of surgical outcomes in stress urinary incontinence and support clinical decision-making.

Inclusion Criteria:

• Female patients aged 18 years or older
• Diagnosis of stress urinary incontinence based on clinical evaluation
• Candidates for surgical treatment with transobturator tape (TOT), tension-free vaginal tape (TVT), or Burch colposuspension
• Ability to provide written informed consent
• Willingness to participate in the study and comply with follow-up visits

Exclusion Criteria:

• Mixed or urge-predominant urinary incontinence
• Previous anti-incontinence or pelvic floor surgery
• Neurogenic bladder disorders
• Active urinary tract infection at the time of evaluation
• Pregnancy or planned pregnancy during the study period
• Known pelvic malignancy
• Inability to undergo transperineal ultrasonographic evaluation