The Comparision of the Short Term Result of Transobturator and Retropubic Mid Urethral Slings in the Female Stress Urinary Incontinence.

Abstract

Purpose: Transobturator slings have become an alternative to retropubic slings for the surgical treatment of stress urinary incontinence (SUI). We aimed to compare the efficacy and outcome between transobturator and retropubic mid-urethral sling procedures. Materials and Methods: We reviewed the chart of 186 consecutive women who had sling procedures with a follow-up of at least 1 year from 2001 to 2006. The retropubic sling procedure was perfomed on 76 women assigned to retropubic group. A total 110 women received transobturator slings assingned to transobturator group. The preoperative evaluations, the indices of voiding, and postoperative complications were analysed by Student's t-test and chi-square. Results: Two groups were similar in their preoperative characteristics and the perioperative parameters except the period of hospitalization and operative time. There were significant difference between the 2 groups in terms of the postoperative obstructive and iatrogenic complications. Transobturator group had shorter hospitalization and operative time and lower complications than retropubic group. Conclusions: Because transobturator sling procedures showed better results and less complications than retropubic slings, it is a safe and efficient surgical treatment for female SUI. (J. Korean Continence Society 2007;11:131-136)