ABSTRACT

Aim:

The aim of this study was to compare the surgical procedures for the treatment of stress urinary incontinence and to define which method is more effective and safe.

Methods:

Records of the patients who were treated for stress urinary incontinence between April 2003 and December 2010 were evaluated. Patients who underwent tension-free vaginal tape (TVT) and transobturator tape (TOT) procedures, and Burch colposuspension were compared for evaluating the efficacy of the operation. Chi-square test and Fischer’s Exact Test were used for categorical variables; continuous variables were analyzed by using student’s t-test. A p value less than 0.05 was considered statistically significant.

Results:

Follow-up records of 97 patients were analyzed for this study. TVT was the most frequently used anti-incontinence procedure (n=39, 40.2%) followed by TOT (n=34, 35.1%) and Burch (n=24, 24.7%). The mean preoperative and postoperative International Consultation on Modular Questionnaire (ICIQ) scores were 16.4±2.01 and 4.68±5.6, respectively (p=0.0001). There was no significant difference between the operations according to subjective evaluation. The subjective cure/improvement rate for Burch was 87.5%, and was 74.3% and 88.2% for TVT and TOT, respectively.

Conclusion:

There were no significant differences between Burch, TVT and TOT for long-term efficacy. Surgical procedure should be chosen based on surgical experience and presence of additional surgical procedure.