مقايسه ي تاثير دو روش جراحي بر درمان بي اختياري استرس ادراري در زنان

Background: Anatomic incontinence is the most common urinary stress incontinence. Since the type of operation is effective in continuation rate of cure and regarding contraversies in success rate of different operations, this study was conducted to compare two techniques of vaginal and suprapubic on continuation of cure in Fatemiieh hospital in Hamedan (2000-2001). Materials and Methods: In a randomized clinical trial 36 urinary stress incontinent women with positive Q tip test were included in random surgery with one of the two methods. Every 3 months follow-up to maximum of 24 months was done regarding recurrence and continuation of cure. Life table and log rank test were used. Results: Median of follow-up in suprapubic and vaginal groups were 9 and 12 months respectively. Seventeen cases of recurrence (47.3%) including 6 in suprapubic and 11 in vaginal group were seen. Median of cure continuation rate up to 21 months was 23% in suprapubic and 29% in vaginal group. Log Rank test revealed no significant difference. Conclusion: Cure continuation rate up to 21 months is low and nearly similar in two methods. As a result, more studies are recommended.