*1.3.1.1. RTUI after surgical correction of UI or pelvic organs prolapses*

In 1995 the tension-free transvaginal tape (TVT) was introduced to treat UI (Ulmsten and Petros 1995). In 2001 another technique, the suburethral transobturator tape (TOT), was introduced (Delorme 2001). The main advantages were that the tape lays at a more anatomic position than in TVT, the needle does not cross the retropubic space, no abdominal incisions are made, there is a lower risk of vesical or intestinal injury and no cystoscopy is required (Sola Dalenz, Pardo Schanz et al. 2006; Delorme and Hermieu 2010).

The simplicity of these techniques and their reproducibility has dramatically increased their use, by both Urologists and Gynaecologists (Castiñeiras-Fernández 2005).

When surgical treatment is indicated, the TOT procedure is the procedure of choice, absent contraindications. This recommendation is supported by the establishment of TVT as a worldwide validated and proven procedure for the surgical correction of urinary stress incontinence.
