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#23182

Total Trans-obturator Tape (TOT) Removal; a case series demonstrating post-operative pain improvement and urinary incontinence outcome Shawer S1, Boodhoo V1, Licari O1, Tyagi V1, Pringle S1, Guerrero K1 1. NHS Greater Glasgow and Clyde KEYWORDS: Stress Urinary Incontinence, Surgery, Grafts: Synthetic, Quality of Life (QoL), Pain, Pelvic/Perineal Synthetic mid-urethral slings (MUS) were used as the gold standard surgical management of stress urinary incontinence (SUI) (1). However, there has been growing evidence about potential serious delayed and under-reported mesh-complications associated with them (2). Management of these complications involves partial or complete excision of the sling, with different risks associated with different options (3). We present a case series of Total Trans-Obturator Tape (TOT) removal, including vaginal and extra-vaginal (groin) approaches to achieve total removal, performed in a tertiary mesh-complications unit over the past 3 years. We aim to assess post-operative pain improvement and recurrence of incontinence following total mesh excision.