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Vol 78, No 4 (2007)
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The prospective comparison of the clinical effectiveness and the complication rate of retropubic (IVS-02) and transobturator (IVS-04) midurethral slings in the treatment of female stress urinary incontinence

Katarzyna Jankiewicz, Aneta Adamiak, Tomasz Rechberger, Paweł Skorupski, Andrzej Wróbel, Jacek Tomaszewski, Konrad Futyma
Ginekol Pol 2007;78(4).

open access

Vol 78, No 4 (2007)
ARTICLES

Abstract

The prospective comparison of the clinical effectiveness and the complication rate of retropubic (IVS-02) and transobturator (IVS-04) midurethral slings in the treatment of female stress urinary incontinence. Objectives: The purpose of this study was the prospective comparison of clinical efficacy and safety of retropubic (IVS-02) and transobturator suburethral tape techniques (IVS-04) in the treatment of female stress urinary incontinence. Material and methods: From January 2003 to June 2004, 145 patients with uro-dynamically proven stress urinary incontinence underwent surgical treatment (IVS-02 or IVS-04). During pretreatment work-up, all patients had undergone full clinical and urodynamic evaluation. Patients with mixed, urge incontinence and the advanced urogenital prolapsed (POPQ scale >2) were excluded from the study. Results: Patients clinical characteristics and urodynamic parameters were comparable between the analyzed groups. At one year follow-up, 122 patients (61 in each group) were evaluated in terms of clinical efficacy of the procedure. The total cure (78,7% in IVS-02 vs 70,5% in IVS-04), the improvement (14,7% vs 21,3%) and the failure rates (6,6% vs 8,2%) were similar in both analyzed groups, chi2=0,58; (p=0,75). Conclusions: The transobturator route for the treatment of stress urinary incontinence appears to be as effective as the retropubic one at one year follow-up. Moreover, the shorter operation time and no need to perform cystoscopy during the surgery make the transoburator

Abstract

The prospective comparison of the clinical effectiveness and the complication rate of retropubic (IVS-02) and transobturator (IVS-04) midurethral slings in the treatment of female stress urinary incontinence. Objectives: The purpose of this study was the prospective comparison of clinical efficacy and safety of retropubic (IVS-02) and transobturator suburethral tape techniques (IVS-04) in the treatment of female stress urinary incontinence. Material and methods: From January 2003 to June 2004, 145 patients with uro-dynamically proven stress urinary incontinence underwent surgical treatment (IVS-02 or IVS-04). During pretreatment work-up, all patients had undergone full clinical and urodynamic evaluation. Patients with mixed, urge incontinence and the advanced urogenital prolapsed (POPQ scale >2) were excluded from the study. Results: Patients clinical characteristics and urodynamic parameters were comparable between the analyzed groups. At one year follow-up, 122 patients (61 in each group) were evaluated in terms of clinical efficacy of the procedure. The total cure (78,7% in IVS-02 vs 70,5% in IVS-04), the improvement (14,7% vs 21,3%) and the failure rates (6,6% vs 8,2%) were similar in both analyzed groups, chi2=0,58; (p=0,75). Conclusions: The transobturator route for the treatment of stress urinary incontinence appears to be as effective as the retropubic one at one year follow-up. Moreover, the shorter operation time and no need to perform cystoscopy during the surgery make the transoburator
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Keywords

Urinary Incontinence - etiology, Urinary Incontinence - physiopathology, urinary incontinence - surgery

About this article
Title

The prospective comparison of the clinical effectiveness and the complication rate of retropubic (IVS-02) and transobturator (IVS-04) midurethral slings in the treatment of female stress urinary incontinence

Journal

Ginekologia Polska

Issue

Vol 78, No 4 (2007)

Bibliographic record

Ginekol Pol 2007;78(4).

Keywords

Urinary Incontinence - etiology
Urinary Incontinence - physiopathology
urinary incontinence - surgery

Authors

Katarzyna Jankiewicz
Aneta Adamiak
Tomasz Rechberger
Paweł Skorupski
Andrzej Wróbel
Jacek Tomaszewski
Konrad Futyma

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