The Comparison of Adjustable Single-incision Mini Sling and Transobturator Tape for the Treatment of Stress Urinary Incontinence
Journal Title: Journal of Academic Research in Medicine - Year 2020, Vol 10, Issue 1
Abstract
Objective: The aim of the study was to compare the efficacy and complications of adjustable single-incision mini-sling (A-SIMS) with transobturator tape (TOT) in surgical management of female urinary incontinence. Methods: The results of 54 patients performed A-SIMS and TOT were evaluated retrospectively. Inclusion criteria were stress urinary incontinence with valsava leak point pressure <60 cm H2O and at least one-year follow-up. Exclusion criteria were pelvic organ prolapsus, concominant or previous genitourinary surgery and patients without urodynamic assessment. Patients were enrolled into two groups as A-SIMS and TOT, each group included 27 patients. Results of the operations (postoperative hemoglobin decrease, operation time, perioperative complication, urinary retention, postoperative pain) and efficacy of the surgery (objective cure rate, subjective cure rate, failure rate) were compared. Results: Both of the groups were similar according to the patients characteristics. The mean follow-up period was 21.5 and 17.7 months in TOT and A-SIMS groups, respectively. The difference between the two groups according to objective cure rate, subjective cure rate and failure rate was not statistically significant. Postoperative hemoglobin decrease and operation time in the A-SIMS group were significantly lower than in the TOT group. Five patients had postoperative pain in the TOT group. However, no pain was revealed in the A-SIMS group. Besides, no perioperative complication was revealed in both of the groups. Conclusion: In short-term period, A-SIMS is as effective and safe as TOT in the surgical management of female urinary incontinence. However, A-SIMS may be superior as a simple procedure having shorter operation time.
Authors and Affiliations
Suat Karataş, Meltem Tekelioğlu, Tayfur Çift, Muzaffer Temür, Ayşe Ender Yumru
Keywords
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