Comparison Of Clinical Results Of Transboturator Or Retropubic Vaginal Tape For Treatment Of Female Stress Urinary Incontinence

ObjectiveTo describe the clinical result of transobturator tension-free vaginal tape (TOT) and supraubc arch sling (SPARC) for surgical treatment of female stress urinary incontinence (SUI).MethodsThis study summarized 40 cases of patients, from March,2008 to June,2009, who admitted in the 2nd hospital of Tianjin medical university for the treatment of simple stress urinary incontinence. Twenty eight of 40 female patients suffering from SUI were treated with TOT under analgesia plus local anesthesia and others 12 were treated with retropubic tension-free vaginal tape (SPARC, through abdominal wall) under spinal anesthesia.All descriptive data are reported as the mean±standard deviation (SD). The differences in the mean values between the ileal neobladderand the cutaneous diversion patients were analysed by independent samples t test, The data regarding the percentage were analysed by x2 test. Significance was defined at the 5% level.ResultsThe operating time, intraoperation bleeding and postoperative hospital stay were 12min,8 ml and 1.6 days respectively in TOT group and 28min, 30 ml and 2.38 days in SPARC group. All patients were cured and the clinical symptoms disappeared after operation except for 2 with postoperative difficulty of urination in each group. These 4 patients were catheterized again for 7 days after urethral dilation then the symptoms disappeared. The other 3 patients in TOT group complained numbness of in board thigh, which cured automatically after 15 days. Cystic perforation occurred in one patient in SPARC group during operation, and cured after reoperation followed by catheterization for 7 days. The namic-parameters improved remarkably. During a follow-up of 1～12 months, no sui recurred and no other operation correlative complication was observed.ConclusionTOT and SPARC both have advantages of reliability and mini-invasion . The former has superiorities of even shorter operating time and postoperative stay , simpler and safer operation, less bleeding and milder complications as compared with SPARC. It is probably a more idealized surgical method for treatment of female stress urinary incontinence.