Department of Obstetrics and Gynecology, Yonsei University Health System, Seoul, Korea.

The aim of this study was to compare the treatment outcome of 3 sling procedures for stress urinary incontinence with intrinsic sphincter deficiency.

This retrospective study included 253 patients who underwent incontinence surgery (pubovaginal sling [PVS] = 87, tension-free vaginal tape [TVT] = 94, and transobturator tape [TOT] = 72) for urodynamic stress incontinence with intrinsic sphincter deficiency. Analysis of variance, chi(2) test, Fisher's exact test, Kaplan-Meier survival analysis, and Cox proportional hazard regression were used for statistical analysis.

Overall complication rates were not significantly different. At 2 years postoperatively, the cumulative cure rates of the PVS, TVT, and TOT groups were significantly different (87.25%, 86.94%, and 34.89%, respectively; P < .0001). The risk of treatment failure in women who received TOT was 4.6 times higher than in women who underwent PVS. The 7-year cumulative cure rates of PVS and TVT groups were 59.10% and 55.09%, respectively.

PVS and TVT were more efficacious, but the long-term cure rates were low.

Written by
Jeon MJ, Jung HJ, Chung SM, Kim SK, Bai SW.

Reference
Am J Obstet Gynecol. 2008 Jan 24. Epub ahead of print.
doi:10.1016/j.ajog.2007.11.060

PubMed Abstract
PMID:18221934

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