Our data further support the notion that the TVTobturator procedure, a novel midurethral sling operation for the treatment of female stress urinary incontinence, seems to be effective and safe. Intraoperative diagnostic cystoscopy and bladder catheterization might not be mandatory with this newly introduced surgical approach. The TVTobturator procedure was associated with fewer complications, both intraoperatively and postoperatively, than previously reported for the TVT procedure. These complications included a lower incidence of operative bleedings, postoperative field infections, and voiding difficulties.