title: Prospective randomized trial comparing synthetic vs biological out-in transobturator tape: a mean 3-year follow-up study.
abstract: 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.
authors.affiliation: 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.
authors.forename: Raffaele
authors.initials: R
authors.lastname: Paparella
authors.forename: Monia
authors.initials: M
authors.lastname: Marturano
authors.forename: Laura
authors.initials: L
authors.lastname: Pelino
authors.forename: Alessandra
authors.initials: A
authors.lastname: Scarpa
authors.forename: Giovanni
authors.initials: G
authors.lastname: Scambia
authors.forename: Giuseppe
authors.initials: G
authors.lastname: La Torre
authors.forename: Pierluigi
authors.initials: P
authors.lastname: Paparella
mesh_terms: 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*