title: Comparative results of two techniques to treat stress urinary incontinence: synthetic transobturator and aponeurotic slings.
abstract: OBJECTIVE
  This study aims to analyze comparatively the efficacy and safety of synthetic transobturatory and aponeurotic retropubic slings, in the treatment of stress urinary incontinence (SUI) in women.
  
  
  METHODS
  Patients were separated in a randomized way. Twenty-one patients were submitted to the operatory correction by the transobturatory sling technique, whereas 20 patients were operated by the retropubic sling technique. All patients were submitted to complete physical exam and urodynamic test. The "T" test and the Mann-Whitney U test were applied to establish comparisons between the two groups. Patients were followed-up for 12 months.
  
  
  RESULTS
  Healing rate was 90.5% (19/21) and 95% (19/20), respectively after 12 months. The transobturatory group presented lesser complications rate than the retropubic group.
  
  
  CONCLUSIONS
  The transobturatory and the aponeurotic slings techniques were equally effective for the treatment of SUI. The transobturatory sling has shown fewer complications and lesser surgical time than the aponeurotic sling technique.
authors: ABC Medical School, Rua Dr. Albuquerque Lins 635/71, CEP: 01230-001 São Paulo, São Paulo, Brazil. marcosclinica@terra.com.br
authors: Marcos
authors: M
authors: Tcherniakovsky
authors: César Eduardo
authors: CE
authors: Fernandes
authors: Carlos Alberto
authors: CA
authors: Bezerra
authors: Carlos Antonio
authors: CA
authors: Del Roy
authors: Eric Roger
authors: ER
authors: Wroclawski
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D017568:Rectus Abdominis / Q000601:surgery*; D053825:Suburethral Slings; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*