title: Tension-free vaginal tape, transobturator tape, and own modification of transobturator tape in the treatment of female stress urinary incontinence: comparative analysis.
abstract: BACKGROUND
  This study is a comparative evaluation of the TVT, TOT, and our own modification of TOT (mTOT) in the treatment of female stress urinary incontinence from a single center experience.
  
  
  METHODS
  The study was conducted on 527 patients with SUI diagnosed on the basis of urodynamic studies. They were divided into three groups--TVT: n=142, (TOT): n=129, and mTOT: n=256. All of the patients underwent evaluation at 1, 3, and 6 months after surgery. Results were statistically analysed and compared.
  
  
  RESULTS
  Objective and subjective effectiveness after the surgery were not significantly different in the study groups and ranged from 90.1% to 96.4%. Mean surgery time was 32.3, 28.2, and 26.4 in the TVT, TOT, and mTOT, respectively. Mean hospitalization time was 2.51 days. Mean catheter maintenance time was significantly higher in the TVT than in other groups. In the TVT group total incidence of complications was 13.4%, and it was significantly higher than that in TOT and mTOT (9.3% and 8.6%, resp.).
  
  
  CONCLUSIONS
  TVT, TOT, and mTOT are highly effective and safe methods in the treatment of SUI. There are no differences in the efficacy between the methods with a little higher percentage of complications in the TVT group.
authors.affiliation: Department and Clinic of Urology, Medical University of Silesia, Katowice, Poland.
authors.forename: Marcin
authors.initials: M
authors.lastname: Zyczkowski
authors.affiliation: Department and Clinic of Urology, Medical University of Silesia, Katowice, Poland.
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Nowakowski
authors.affiliation: Department and Clinic of General and Vascular Surgery, Medical University of Silesia, Katowice, Poland.
authors.forename: Waclaw
authors.initials: W
authors.lastname: Kuczmik
authors.affiliation: Department and Clinic of General and Vascular Surgery, Medical University of Silesia, Katowice, Poland.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Urbanek
authors.affiliation: Department and Clinic of Urology, Medical University of Silesia, Katowice, Poland.
authors.forename: Zbiegniew
authors.initials: Z
authors.lastname: Kaletka
authors.affiliation: Department and Clinic of Urology, Medical University of Silesia, Katowice, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Bryniarski
authors.affiliation: Department and Clinic of Urology, Medical University of Silesia, Katowice, Poland.
authors.forename: Bartosz
authors.initials: B
authors.lastname: Muskala
authors.affiliation: Department and Clinic of Urology, Medical University of Silesia, Katowice, Poland.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Paradysz
mesh_terms: D019544:Equipment Failure Analysis; D005260:Female; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data*; D008875:Middle Aged; D061646:Operative Time; D011044:Poland / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology* / Q000517:prevention & control; D011474:Prosthesis Design; D012307:Risk Factors; D053825:Suburethral Slings / Q000009:adverse effects* / Q000706:statistics & numerical data*; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000453:epidemiology* / Q000601:surgery*
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