title: Comparison between two laparoscopic retropubic urethropexy.
abstract: BACKGROUND
  To compare two different transperitoneal laparoscopic urethropexy procedures.
  
  
  METHODS
  In this prospective randomized open trial, 60 women affected by genuine stress incontinence were enrolled and randomized in two groups of surgical technique. Group A was treated with transperitoneal laparoscopic retropubic urethropexy using non absorbable sutures, and group B with prolene meshes fixed with tackers or staplers. The failure rate was defined subjectively and objectively. The subjective evaluation was performed asking the patients if they had urine loss and expressing the symptomatology using a visual analog scale before surgery and after each follow-up visit. The objective evaluation was performed with clinical evaluation and/or with the use of multichannel urodynamic studies.
  
  
  RESULTS
  No significant differences in intra- operative and postoperative complications between the two groups were observed. The subjective failure rate was not significantly different between the two groups at 3, 6, and 12 months from surgery. At 3 and 6 months follow-up, the objective failure rate was not significantly different between the two groups. Moreover, at 12 months from surgical procedure the objective failure rate was significantly lower in group A than in group B.
  
  
  CONCLUSIONS
  Transperitoneal laparoscopic retropubic urethropexy performed using sutures is more effective than the mesh technique.
authors.affiliation: Obstetrics and Gynecology, University Magna Graecia of Catanzaro, Catanzaro, Italy.
authors.forename: S
authors.initials: S
authors.lastname: Palomba
authors.forename: T
authors.initials: T
authors.lastname: Russo
authors.forename: D
authors.initials: D
authors.lastname: Iuzzolino
authors.forename: C
authors.initials: C
authors.lastname: Cosco
authors.forename: R
authors.initials: R
authors.lastname: Noia
authors.forename: B
authors.initials: B
authors.lastname: Arduino
authors.forename: M
authors.initials: M
authors.lastname: Morelli
authors.forename: F
authors.initials: F
authors.lastname: Zullo
mesh_terms: D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008875:Middle Aged; D011446:Prospective Studies; D013526:Surgical Mesh; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics; D013520:Urologic Surgical Procedures / Q000379:methods*