Both the middle and distal sections of the urethra may be regarded as optimal targets for 'outside-in' transobturator tape placement.

To explore the impact of the location of the tape under the urethra on sling results, the urethra was divided into the proximal (<40th percentile), middle (40th–70th percentile) and distal sections (>70th percentile). The rate of success, defined as a complete cure, was the highest when the tape was positioned under the distal urethra, but the advantage of this location, compared with the midurethral one, did not reach statistical significance ( χ 2 = 3.62, p = 0.057).

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