Kursat Zengin1, Mustafa Kara2, Serhat Tanik1, Memduh N Sertcelik3, Asir Eraslan3. 1. Department of Urology, Bozok University Medical Faculty, Yozgat, Turkey. 2. Department of Obstetrics and Gynecology, Bozok University Medical Faculty, Yozgat, Turkey. 3. Department of Urology, Diskapi Training and Research Hospital, Ankara, Turkey.
Abstract
BACKGROUND: Urinary incontinence is a significant medico-social problem and its incidence increases up to 70% in the postmenopausal period. OBJECTIVES: We aimed to compare the efficacy and safety of transobturator adjustable tape (TOT) and mini sling in female urinary incontinence. MATERIAL AND METHODS: A total of 69 patients were included in the study. Single surgeon applied TOT (n=56 with ISD) or 13 mini sling (n=13 with ISD). Patients were considered to have ISD identified by a Valsalva leak point pressure (VLPP) measurement<60 cm H2O with a volume of 150 mL in the bladder or by a maximum urethral closure pressure (MUCP) measurement<20 cm H2O with a volume of 200 mL in the bladder. The mean follow-up period was 25 months for TOT group and 24 months for mini sling group (p=0.72). RESULTS: The cough test was negative in 48 of TOT group (86%) and 11 of mini sling group (84.6%). ICIQ-SF scores for the median value decreased from 14 (11-21) preoperatively to 3 (0-9) postoperatively (p<0.05) in the TOT group, and 15 (12-23) preoperatively to 4 (0-10) postoperatively (p<0.05) in the mini sling group. The difference in the decrease of the score between two groups was not statistically significant (p=0.42). There was not any significant complication to note. The mean hospital stay for TOT group was 2.1 days (1-5), and 1.4 days (1-3) for mini sling group (p=0.12). Operation time was was significantly lower in mini-sling group than TOT group (11.6 vs. 18.4, p<0.01). CONCLUSION: Both TOT and mini-sling procedures are successful and safe procedures in the treatment of female stress urinary incontinence with ISD.
BACKGROUND:Urinary incontinence is a significant medico-social problem and its incidence increases up to 70% in the postmenopausal period. OBJECTIVES: We aimed to compare the efficacy and safety of transobturator adjustable tape (TOT) and mini sling in female urinary incontinence. MATERIAL AND METHODS: A total of 69 patients were included in the study. Single surgeon applied TOT (n=56 with ISD) or 13 mini sling (n=13 with ISD). Patients were considered to have ISD identified by a Valsalva leak point pressure (VLPP) measurement<60 cm H2O with a volume of 150 mL in the bladder or by a maximum urethral closure pressure (MUCP) measurement<20 cm H2O with a volume of 200 mL in the bladder. The mean follow-up period was 25 months for TOT group and 24 months for mini sling group (p=0.72). RESULTS: The cough test was negative in 48 of TOT group (86%) and 11 of mini sling group (84.6%). ICIQ-SF scores for the median value decreased from 14 (11-21) preoperatively to 3 (0-9) postoperatively (p<0.05) in the TOT group, and 15 (12-23) preoperatively to 4 (0-10) postoperatively (p<0.05) in the mini sling group. The difference in the decrease of the score between two groups was not statistically significant (p=0.42). There was not any significant complication to note. The mean hospital stay for TOT group was 2.1 days (1-5), and 1.4 days (1-3) for mini sling group (p=0.12). Operation time was was significantly lower in mini-sling group than TOT group (11.6 vs. 18.4, p<0.01). CONCLUSION: Both TOT and mini-sling procedures are successful and safe procedures in the treatment of female stress urinary incontinence with ISD.