[Functional results following transobturator and retropubic mid-urethral sling]. / Résultats fonctionnels de la chirurgie de l'incontinence urinaire à l'effort par bandelette sous-urétrale par voie rétropubienne et transobturatrice.

ABSTRACT

OBJECTIVE: To compare functional results following retropubic and transobturator mid-urethral sling procedures. METHODS: Multicenter randomized controlled trial. Power calculation was based on the rate of bladder injury. The current study concerns an analysis of secondary judgment criteria. RESULTS: One hundred and forty-nine patients were randomly allocated to either TVT (n=75) or TVT-O (n=74). Among them, 132 women completed a 24-month follow-up. There was no significant difference between the two groups, concerning urodynamics data (excluding uroflowmetry) at 12 months follow-up, functional and sexual results at 6, 12 and 24 months follow-up. Concerning sexual results, an improvement in visual analogue scale scores was observed in both groups at 24 months follow-up with no difference between the two groups median score increased from 70 (IQR 50-80) pre-operatively to 90 (IQR 70-100) at 24 months follow-up (P=0,0004) in TVT-O group and from 70 (IQR 50-80) to 85 (IQR 70-100) (P=0,0009) in TVT group. CONCLUSION: TVT and TVT-O procedures are both associated with an increase in quality of life with no significant differences in functional results at 2 years follow-up.