Journal of Gynecological Endoscopy and Surgery
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ORIGINAL ARTICLE
Year : 2009  |  Volume : 1  |  Issue : 2  |  Page : 105-112

A comparative evaluation of suburethral and transobturator sling in 209 cases with stress urinary incontinence in 8 years


1 Professor and Head of Obstetrics and Gynecology Department, Rajawadi Hospital and D Y Patil Medical College, Mumbai, India
2 Consultant Gynecologist, NILES and Aakar IVF Centre and Holy Family Hospital, Mumbai, India
3 Clinical Assistant, NILES and Aakar IVF Centre, Mumbai, India
4 ICOG FOGSI Certificate Trainee, NILES and Aakar IVF Centre, Mumbai, India

Correspondence Address:
Prakash Trivedi
Department of Endoscopy & IVF, National Institute of Laser & Endoscopic Surgery, 1,2,3, Gautam Building, Opp. Balaji Temple, Tilak Road, Ghatkopar (East), Mumbai - 400 077
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-1216.71615

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Aims and Objectives: To evaluate the outcome of suburethral and transobturator sling in treatment of female stress urinary incontinence in 209 cases from 2002 to 2010. The criteria evaluated were success, failure, complications, operating time, ease of the procedure, availability and cost effectivity of the sling. Design and Setting: A retrospective comparative study was carried out at a tertiary referral centre for female urinary incontinence. Material and Methods: A total of 209 patients (females from 27 to 79 years of age) with proven stress urinary incontinence were treated by suburethral transvaginal tape (TVT) type of slings in 101 cases and transobturator Monarc type of sling in 108 cases at the National Institute of Endoscopic Surgery and Urinary Incontinence Center, Mumbai, India, from March 2002 to June 2010. The maximum follow up was for 8 years. Results: The TVT type of slings had higher complication rate like needle entering the bladder, retention of urine necessitating to cut the tape in the center and had a success rate of 94.5% compared to Monarc/Trivedi obturator tape (TrOT) type of sling with outside-in technique, which had a negligible complication (less than 1%), pain in groin or leg movement that reduced in 6 weeks and a success rate of 95%. Specially, the Indian design Trivedi's stress urinary incontinence tape (TSUIT) and TrOT with reusable needles, the cost was only 15-20% of the international brands.


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