title: Two techniques of laparoscopic retropubic urethropexy.
abstract: OBJECTIVE
  To compare two techniques of transperitoneal laparoscopic urethropexy.
  
  
  METHODS
  Prospective, randomized, open trial (Canadian Task Force classification I).
  
  
  METHODS
  University-affiliated department of gynecology and obstetrics.
  
  
  METHODS
  Sixty women with genuine stress incontinence.
  
  
  METHODS
  Transperitoneal laparoscopic retropubic urethropexy using nonabsorbable sutures (group A) and polypropylene mesh fixed with tacks or staples (group B).
  
  
  RESULTS
  Failure was assessed subjectively and objectively. Subjective evaluation was performed asking patients if they had urine loss and having them describe symptomatology on a visual analog scale before surgery and at each follow-up visit. Objective evaluation was by clinical examination and/or multichannel urodynamic studies. No significant differences in intraoperative and postoperative complications were observed between groups. The subjective failure rate was not significantly different between groups 3, 6, and 12 months after surgery. At 3 and 6 months the objective failure rate was not significantly different; however, at 12 months it was significantly lower in group A than in group B.
  
  
  CONCLUSIONS
  Transperitoneal laparoscopic retropubic urethropexy is more effective with sutures than with mesh.
authors.affiliation: Department of Obstetrics and Gynecology, University of Catanzaro, Italy.
authors.forename: Fulvio
authors.initials: F
authors.lastname: Zullo
authors.forename: Michele
authors.initials: M
authors.lastname: Morelli
authors.forename: Tiziana
authors.initials: T
authors.lastname: Russo
authors.forename: Domenico
authors.initials: D
authors.lastname: Iuzzolino
authors.forename: Stefano
authors.initials: S
authors.lastname: Palomba
mesh_terms: D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D011126:Polypropylenes; D011446:Prospective Studies; D013526:Surgical Mesh; D013537:Sutures; D014521:Urethra / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics
chemical_list: D011126:Polypropylenes