Comparison of results after 9 years of stress urinary incontinence treatment with transobturator tape and single incision sling.

Abstract INTRODUCTION AND HYPOTHESIS Surgical treatment of stress urinary incontinence (SUI) is performed using a tension-free suburethral band, and the most recent is the single-incision sling (SIS) developed to reduce surgical time and minimize the complications associated with retropubic and transobturator bands. The objective of this study is to compare the SIS bands with the transobturator (TO) bands, in terms of efficacy (objective and subjective continence) and long-term post-surgical complications METHODS Prospective observational study, with a 9-year follow-up (2012-20121) at the University Clinical Hospital of Valladolid (Spain), in women who underwent surgery for SUI using suburethral bands, TO or SIS. RESULTS 271 patients were included, 133 TO and 138 SIS. The TO group was older and had a higher frequency of hypertension and previous gynecological surgery, including an anti-incontinence technique. SIS patients performed physical activity more frequently and associated a higher percentage of psychiatric pathology. Surgery time was lower with SIS and TO was significantly associated with POP corrective surgery. There are no significant differences in immediate (<7 days), intermediate (≥7-30 days) or late (≥1 month) complications. No significant differences were found in relation to objective or subjective healing using the satisfaction scale, the ICIQ-SF questionnaire, and the PGI-1. CONCLUSIONS Although the evidence currently does not place SIS as the gold standard treatment for SUI, in our study we did not observe differences between the two procedures (SIS and TO) during the 9-year follow-up, neither in objective nor subjective cure.