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Four-year functional results of the suburethral sling procedure for stress urinary incontinence: a French prospective randomized multicentre study comparing the retropubic and transobturator routes

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Abstract

Purpose

To evaluate long-term (over 4 years) functional outcomes and quality of life of transobturator (TOR) and retropubic (RPR) routes in the cure of stress urinary incontinence (SUI).

Methods

Prospective, randomized multicentre study involving 88 women with SUI from March 2004 to May 2005 (RPR group (n = 42), TOR group (n = 46)). Long-term functional results and quality of life were evaluated using validated questionnaires and compared with those observed at the first year.

Results

Eight patients (19%) in the RPR group and 9 patients (19.5%) in the TOR group were lost to follow-up (NS). The mean follow-up in the RPR and the TOR groups was 52.7 months and 53.1 months, respectively. In intention to treat, the success rate at 4 years was 64.3% in the RPR group and 69.5% in the TOR group (NS). At 4 years, no significant differences in the IIQ scores were observed in either group compared to the preoperative scores with no difference between the groups (RPR group: 32 vs. 14.9 (NS), TOR group: 25.7 vs. 21.4 (NS)). Compared to 1 year UDIQ and IIQ scores, a decrease in quality of life was observed for both groups at 4 years (RPR group: 4.7 vs. 34 (P < 0.0001) and 2.6 vs. 14.9 (P < 0.001), TOR group: 1.2 vs. 38.7 (P < 0.0001) and 0 vs. 21.4 (P < 0.0001)) without difference between the groups.

Conclusions

This study shows similar relatively high long-term success rates for both the RPR and TOR procedures. Patients should be informed about a possible time-dependent alteration in functional results.

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Conflict of interest

All authors confirm that they have no conflict of interest.

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Authors and Affiliations

  1. Service de Gynécologie-Obstétrique, Hôpital Tenon, Assistance Publique des Hôpitaux de Paris, Université Pierre et Marie Curie, Paris 6, Paris, France

    Marcos Ballester, Charles Bui, Emmanuel David-Montefiore, Roman Rouzier & Emile Daraï

  2. Service de Gynécologie, Hôpital de Bourg en Bresse, Bresse, France

    Jean-Luc Frobert

  3. Clinique Sainte Anne Lumière, Lyon, France

    Maryelle Grisard-Anaf

  4. Clinique Trénel, Sainte Colombe, France

    Jean Lienhart

  5. Service de Gynécologie-Obstétrique, Hôpital Bicêtre, Assistance Publique des Hôpitaux de Paris, Université Paris 11, Paris, France

    Herve Fernandez

  6. Service de gynécologie obstétrique. APHP, Hôpital Tenon, 4, rue de la Chine, 75020, Paris, France

    Marcos Ballester

Authors
  1. Marcos Ballester
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  2. Charles Bui
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  3. Jean-Luc Frobert
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  4. Maryelle Grisard-Anaf
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  5. Jean Lienhart
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  6. Herve Fernandez
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  7. Emmanuel David-Montefiore
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  8. Roman Rouzier
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  9. Emile Daraï
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Corresponding author

Correspondence to Marcos Ballester.

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Ballester, M., Bui, C., Frobert, JL. et al. Four-year functional results of the suburethral sling procedure for stress urinary incontinence: a French prospective randomized multicentre study comparing the retropubic and transobturator routes. World J Urol 30, 117–122 (2012). https://doi.org/10.1007/s00345-011-0668-1

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  • DOI: https://doi.org/10.1007/s00345-011-0668-1

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