Surgical correction of female urinary incontinence: comparison of colporrhaphy, sling and suspension procedures.
OBJECTIVE
To analyse clinical outcomes of three types of pelvic surgery for the correction of female mixed or stress urinary incontinence.


METHODS
Women who underwent surgery for urinary incontinence between January 2000 and June 2010 were included in the study (n = 268). Patients were nonrandomly assigned to undergo colporrhaphy, suspension procedure or sling procedure according to their clinical situation. Perioperative parameters were recorded. Short- (< 5 years) and long-term (5-10 years) success rates were determined for each group.


RESULTS
The short- and long-term complete cure rates were significantly lower, and the duration of catheterization significantly longer, in patients who underwent colporrhaphy compared with both other groups, but there were no significant differences between suspension or sling procedures.


CONCLUSIONS
Sling and suspension procedures were equally effective in this study, and both were preferable to colporrhaphy.
Department of Obstetrics and Gynaecology, Taksim Training and Research Hospital, Istanbul, Turkey. ender-yumru@hotmail.com
A E
AE
Yumru
B
B
Dinçgez Çakmak
B
B
Öndeş
M
M
Ergez
D000328:Adult; D005260:Female; D006801:Humans; D007902:Length of Stay; D008875:Middle Aged; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures