title: Outcomes of two different incision techniques for surgical treatment of stress urinary incontinence with concomitant anterior vaginal wall prolapse.
abstract: OBJECTIVE
  To assess the outcomes of two different incision techniques used in the surgical treatment of stress urinary incontinence (SUI) with concomitant anterior vaginal wall prolapse and to identify possible associated risk factors with a medium-term follow-up in patients who underwent TOT procedure.
  
  
  METHODS
  We conducted a retrospective cohort study of 233 women who underwent transobturator tape procedure with cystocele repair. The women were divided into two groups according to two different incision techniques. The outcomes were analyzed considering five postoperative parameters: objective cure, subjective cure, patient satisfaction, resolution of urgency urinary incontinence and complications. The mean follow-up period was 43.6 months (range 12-85).
  
  
  RESULTS
  A total of 226 women were documented in this study: 79 women in single-incision technique (group 1) and 147 women in double-incision technique (group 2). The objective and subjective cure and patient satisfaction (visual analog scale score ≥80) rates were 89.8, 73.4, 84.8 % and 90.4, 74.1, 86.4 % in group 1 and group 2, respectively. Complications reported according to the Clavien-Dindo classification were grade I 5.2 %, grade II 42.1 %, grade IIIa 47.3 %, and grade IIIb 5.2 %, and grade I 22.2 %, grade II 77.7 %, grade IIIa 0 % and grade IIIb 0 % in group 1 and group 2, respectively. The mean operative time was significantly shorter in group 1 compared to group 2 (p = 0.001).
  
  
  CONCLUSIONS
  Both incision techniques have satisfactory outcomes in the surgical treatment of SUI with cystocele; nevertheless, the postoperative complications favor the double-incision technique.
authors.affiliation: Department of Urology, Izmir Bozyaka Training and Research Hospital, Saim Cikrikci Str. No: 59 Bozyaka, 35110, Izmir, Turkey, tyonguc@gmail.com.
authors.forename: Tarik
authors.initials: T
authors.lastname: Yonguc
authors.forename: Ibrahim Halil
authors.initials: IH
authors.lastname: Bozkurt
authors.forename: Burak
authors.initials: B
authors.lastname: Arslan
authors.forename: Zafer
authors.initials: Z
authors.lastname: Kozacioglu
authors.forename: Ismail
authors.initials: I
authors.lastname: Gulden
authors.forename: Bulent
authors.initials: B
authors.lastname: Gunlusoy
authors.forename: Tansu
authors.initials: T
authors.lastname: Degirmenci
mesh_terms: D000328:Adult; D052858:Cystocele / Q000150:complications / Q000601:surgery*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D012189:Retrospective Studies; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000150:complications / Q000601:surgery*; D014596:Uterine Prolapse / Q000150:complications / Q000601:surgery*