Téma: 

Comparison of early outcomes after resorbable and non-resorbable transobturator tape implantation

Martin Romančík, Ivan Lutter, Frederico Goncalves, Milan Obšitník, Peter Weibl, Andrej Havalda

Objective: To compare early outcomes of female stress urinary incontinence treatment by implantation of transobturator tape (TOT) with resorbable and non-resorbable suburethral segment. Material and methods: 77 female patients (pts) with urodynamic stress urinary incontinence (SUI) were divided into two groups according to the type of implanted TOT. Urine leakage (PWT*), urinary incontinence-specific quality of life (IQoL*) and complications of surgery were established six months after surgery. Cure was defined as PWT* ≤ 2 g and simultaneously IQoL* ≥ 80 p, all the other cases were considered as failure. Results: 23 pts underwent resorbable TOT implantation (1st group), 54 pts underwent non-resorbable TOT implantation (2nd group). Cure rate in 1st versus 2nd group was 39.1 % versus 77.8 % respectively (p = 0,001). Complications of surgery were rare, no significant difference was found between both groups (p > 0.05). The odds of failure after surgery were 5 times greater for pts with resorbable TOT versus pts with non-resorbable TOT implantation (OR 5,444, 95 % CI 1,896 - 15,635). Conclusion: With limited follow up, non-resorbable TOT implantation appears to give better outcomes of SUI treatment compared to resorbable TOT implantation.

Ročník 2007  Témy časopisu Clinical urology 3 / 2007

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