The Comparison of Short Term Results of Transobturatour Tape and Single Incision Midurethral Sling Procedures

Objectives:We aimed to evaluate the efficacy of transobturator tape (TOT) and single incision mini sling (SIMS) procedures in the treatment of stress urinary incontinence (SUI). Materials and Methods: The data of 32 patients who underwent TOT(Promedon®) or SIMS (Ophira®) operations related to SUI between January 2010 - August 2012 were retrospectively evaluated. The sample divided in two groups according to the operation type. The demographical features, preoperative, perioperative, and postoperative data were analysed and compared between two groups to evaluate the efficacy of the operations in SUI. All patients were assessed with a detailed history, physcical examination, cough test, Q-tip test, ultrasonography, postvoiding residual measurement, cystometry and UDI-6, IIQ-7 questionares. Postoperatively, the patients without any incontinence on cough test or sistometry were defined as the success. Results: The parameters of age, menapousal status, number of vaginal delivery, and body mass index were similar in two groups. The mean operation time was significantly shorter in SIMS group (16±3 vs 27±5, p0.05). Postoperative UDI-6 and IIQ-7 scores were 3.5 ± 3.4 vs 3.8 ± 4.8 and 4.4 ± 4.2 vs 5.1 ± 5,6 respectively, and they were similar (p > 0.05 in both). In addition, the improvement in these scores were not statistically significant between two groups (p > 0.05 in both). Conclusion:SIMS procedure is safe and as effective as TOT with shorter operation time in the surgical teratment of female SUI.