Comparison of the Long Term Results of the Tension Free Vaginal Tape and Fascial Sling in Treatment with Stress Urinary Incontinence

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Objective: To compare the long term results of the Tension free Vaginal Tape (TVT) and fascial sling in treatment with stress urinary incontinence. Material and Methods: A total of 113 patients treated with Tension free vaginal tape (TVT) and fascial sling between May 2002 and July 2008 were included into the study. Complete dryness was accepted as success, 50% reduction in pad number was evaluated as partial success, and reduction less than 50% in number of pad was evaluated as failure. Statistical analysis was performed using SPSS®18.0 for Windows with the student t test for parametric variables, and the chi-square test for categorical variables. Statistical significance was considered at p 0.05. Results: Average of age was 52.94 (31-78), and follow-up periods for TVT and fascial sling were 44.3±8.7 months and 74.7±12.4 months, respectively. Mixed incontinence was present in 79.5% patients. Number of patients in menopause, type of incontinence, severity of incontinence, and age were similar in both groups (p 0.05). Success ratio was detected as 96% in TVT group and 77% in fascial sling group p 0.001. In TVT group bleeding, operation time and hospital stay were less than fascial sling group (p 0.05). In fascial group, obstruction and postvoiding residual urine were higher than TVT group (p 0.05). Bladder perforation was similar in both groups (p 0.05) and major complication was not detected in both groups. Tape erosion was not detected in follow-up period. Conclusion: TVT is superior to fascial sling with less operation time, less bleeding and short hospital stay, and preferable with high success rate.

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Stress urinary incontinence , tension free vaginal tape , fascial sling

Kocatepe Medical Journal

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Kocatepe Medical Journal