Prospective randomized trial comparing synthetic vs biological out-in transobturator tape: a mean 3-year follow-up study.
OBJECTIVE
The aim of this study was to prospectively and randomly compare the outcome of surgical treatment of female stress urinary incontinence (SUI) using the same outside-inside transobturator technique with biological (PelviLaceTO) or synthetic (UretexTO) material sling, evaluating if the biological material can prevent vaginal erosion retaining the "cure rate" of this surgical technique.


METHODS
Seventy patients with SUI were selected, randomly assigned to either UretexTO (n = 34) or PelviLaceTO (n = 36), and underwent the same surgery.


RESULTS
There is no significant difference between two study arms with regard to objective and subjective cure rates and quality of life. In both groups we had an overlap cure rate (UretexTO group 88.2% vs PelviLaceTO group 88.8%) at mean 3 years follow-up. It found no perioperative complications nor vaginal erosions.


CONCLUSIONS
UretexTO and PelviLaceTO are two similarly safe and efficient slings in the management of SUI, with a good patient satisfaction and without any complications.
Paparella
Raffaele
R
Association Columbus-Operative Unit, Urogynecology and Reconstructive Surgery of Pelvic Floor, Department for the Protection of the Health of Women and Rising Life, Catholic University of Sacred Heart, Via Giuseppe Moscati 31, 00168 Rome, Italy.
Marturano
Monia
M
Pelino
Laura
L
Scarpa
Alessandra
A
Scambia
Giovanni
G
La Torre
Giuseppe
G
Paparella
Pierluigi
P
D000368:Aged; D001705:Bioprosthesis; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D011474:Prosthesis Design; D053825:Suburethral Slings; D013997:Time Factors; D014550:Urinary Incontinence, Stress / Q000601:surgery*