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Transobturator Tape (Tot) and Suprapubic Arc (Sparc) in Women With Stress Urinary Incontinence: A Comparison Between Two Minimally Invasive Treatments



Zargham M1 ; Allameh ZS2 ; Dokhani S3 ; Alizadeh F1 ; Khorami MH2 ; Izadpanahi MH1 ; Tadayon F1
Authors
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Authors Affiliations
  1. 1. Department of Urology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Department of Gynecology, School of Medicine and Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Journal of Isfahan Medical School Published:2012

Abstract

Background: Stress urinary incontinence (SUI) is very prevalent in middle-aged women. Minimal invasive anti-incontinence surgery is the most common surgery for treating the problem. The purpose of this study was to compare the therapeutic results and complications of minimally invasive antiincontinence operative procedures for middle-aged women with SUI. Methods: We prospectively evaluated 146 women with SUI, who underwent suprapubic arc (SPARC) or transobturator (TOT) sling by the same surgeon. Findings: Concurrent anterior prolepses repair was performed in 43 (59.7%) and 29 (39.2%) patients in the SPARC and TOT groups, respectively. Objective cure rate was 90% and 93% respectively in the SPARC and TOT groups. Voiding difficulties were observed in 8 (11.1%) cases of the SPARC group and 13 (17.6%) patients of the TOT group. Urethrolysis and complete mesh removal were necessitated in 2 cases of the SPARC group. Regional and pelvic pains were observed in 3 (4.2%) and 10 (13.5%) patients of the SPARC and TOT groups, respectively. Vaginal erosion occurred in 8 (11.1%) and zero individuals of the SPARC and TOT groups, respectively. Conclusion: The short-term anti-incontinence effects of SPARC and TOT were much similar. However, chronic pelvic and groin pain (with movement) occurred in 13.5% of women in the TOT group which implies the need for further study to determine the best technique in active women. © 2012, Isfahan University of Medical Sciences(IUMS). All rights reserved.
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