[Clinical analysis of different surgeries for women with stress urinary incontinence].
OBJECTIVE
To compare the efficacy of four kinds of suspender surgery: tension-free vaginal tape (TVT), trans-obturator tape (TOT), Goebell-Stoeckel fascia lata sling (Lata) and Burch urethropexy (Burch) in the treatment of stress urinary incontinence.


METHODS
In this controlled, retrospective study, 103 patients were enrolled, including 53 patients who were operated on by TVT, 16 patients by TOT, 19 patients by Lata and 15 patients by Burch.


RESULTS
The cure rate was as follows: TVT 94% (50/53), TOT 94% (15/16), Lata 95% (18/19), and Burch 87% (13/15) three months after the operation. The operative time for TVT, TOT, Lata and Burch was (28 +/- 7), (16 +/- 5), (125 +/- 13), and (43 +/- 6) min, whereas the duration of postoperative catheterization was (26 +/- 3), (3 +/- 1), (120 +/- 6), and (72 +/- 5) h, respectively. Two cases in TVT group had bladder perforation, one case in TVT group and two cases in Lata group had urinary retention postoperatively.


CONCLUSIONS
The efficacy of the four kinds of suspender surgery is obvious. TVT and TOT have the advantage of minimal invasion, quick recovery, and short duration of hospitalization and catheterization, with the possibility of accompanying operations of uterine and vaginal prolapse at the same time. Burch can also be operated on concomitantly with other gynecological operations.
Song
Yan-feng
YF
Department of Obstetrics and Gynecology, Fuzhou General Hospital, Nanjing Military Command, Fuzhou 350025, China.
Huang
Hui-juan
HJ
Xu
Bo
B
He
Chun-ni
CN
Hao
Lan
L
Lian
Jian-hua
JH
D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*