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Comparative results of two techniques to treat stress urinary incontinence: synthetic transobturator and aponeurotic slings

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Abstract

Introduction and hypothesis

This study aims to analyze comparatively the efficacy and safety of synthetic transobturatory and aponeurotic retropubic slings, in the treatment of stress urinary incontinence (SUI) in women.

Methods

Patients were separated in a randomized way. Twenty-one patients were submitted to the operatory correction by the transobturatory sling technique, whereas 20 patients were operated by the retropubic sling technique. All patients were submitted to complete physical exam and urodynamic test. The “T” test and the Mann–Whitney U test were applied to establish comparisons between the two groups. Patients were followed-up for 12 months.

Results

Healing rate was 90.5% (19/21) and 95% (19/20), respectively after 12 months. The transobturatory group presented lesser complications rate than the retropubic group.

Conclusions

The transobturatory and the aponeurotic slings techniques were equally effective for the treatment of SUI. The transobturatory sling has shown fewer complications and lesser surgical time than the aponeurotic sling technique.

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Authors and Affiliations

  1. ABC Medical School, Rua Dr. Albuquerque Lins 635/71, CEP: 01230-001, São Paulo, São Paulo, Brazil

    Marcos Tcherniakovsky, César Eduardo Fernandes, Carlos Alberto Bezerra, Carlos Antonio Del Roy & Eric Roger Wroclawski

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  1. Marcos Tcherniakovsky
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  2. César Eduardo Fernandes
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  3. Carlos Alberto Bezerra
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  4. Carlos Antonio Del Roy
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  5. Eric Roger Wroclawski
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Correspondence to Marcos Tcherniakovsky.

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Tcherniakovsky, M., Fernandes, C.E., Bezerra, C.A. et al. Comparative results of two techniques to treat stress urinary incontinence: synthetic transobturator and aponeurotic slings. Int Urogynecol J 20, 961–966 (2009). https://doi.org/10.1007/s00192-009-0880-3

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  • DOI: https://doi.org/10.1007/s00192-009-0880-3

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