Comparison between Pubovaginal Sling Using Cadaveric Fascia Lata and Tension-free Vaginal Tape Procedure for the Treatment of Female Stress Urinary Incontinence / 대한비뇨기과학회지

ABSTRACT

PURPOSE: Sling procedure has been performed mainly for stress urinary incontinence (SUI) in women because of its simplicity and good outcome. We compared the efficacy of pubovaginal sling using cadaveric fascia lata with tension-free vaginal tape(TVT) procedure. MATERIAL AND METHODS: Between May 2000 and January 2003, 96 patients with SUI who had undergone sling procedure were analyzed. We compared 45 women treated with pubovaginal sling using cadaveric fascia lata(Group A) to 51 women treated with TVT procedure(Group B). All patients were evaluated preoperatively with detailed history, pelvic examination, urinalysis, voiding diary, urodynamic study, pad test, Q-tip test, transperineal ultrasound, and cystoscopy. Parameters of comparison included operation time, mode of anesthesia, duration of catheterization, length of hospital stay, postoperative presence of urgency, success rate by satisfaction, and complication. RESULTS: In group A, 33 patients(73.3%) were cured and 9(20.0%) showed improvement within a mean follow-up of 1.3 years, whereas in group B, 35 patients(68.7%) were cured and 12(23.5%) showed improvement within 1.5 years. Complications developed in 7 patients(15.6%) in group A and 7(13.7%) in group B. CONCLUSIONS: Both procedures are equally effective surgical treatments for SUI in women. However, long-term follow-up is necessary to determine the endurance of good results.