Comparison of transobturator tape surgery using commercial and hand made slings in women with stress urinary incontinence.
OBJECTIVE
To compare the complications and success rates of hand-made sling with commercial sling used in transobturator tape (TOT) surgery.


METHODS
From 2008 to 2010, hand-made slings were used in TOT surgery, whereas commercial slings were used from 2010 to 2013 in our clinic. Overall 102 patients were included in the study. Patients were categorized into 2 groups: group 1 had hand-made (polypropylene monofilament) slings, while group 2 had commercial slings (polypropylene monofilament). We retrospectively reviewed 1-year follow-up results of the whole cohort. Ages, body mass indexes, menopausal status, operation time, cost of sling, success of operation and complications were recorded. All these data were compared between the 2 groups.


RESULTS
There were 41 patients (54.29 ± 9.88 years) in group 1 and 61 patients (52.82 ± 9.85 years) in group 2. Menopausal status and body mass index (28.1 vs. 29.2 kg/m² respectively) were similar for both groups. Previous history of incontinence or pelvic organ prolapse surgery (P = .046), mean duration of the procedure (P = .001), and vaginal extrusion rate (P = .016) were significantly lower in group 2. The cost of the sling was higher in group 2 than in group 1. There was no significant difference in success of operation between the groups (P = .319).


CONCLUSIONS
According to our results, hand-made mesh is a viable option in TOT surgery with similar efficacy, but surgeons should be careful in terms of vaginal extrusion.
Department of Urology, School of Medicine, University of Kocaeli, Kocaeli, Turkey. seyfettinciftci@yahoo.com.
Seyfettin
S
Ciftci
Department of Urology, School of Medicine, University of Kocaeli, Kocaeli, Turkey.
Cuneyd
C
Ozkurkcugil
Department of Urology, School of Medicine, University of Kocaeli, Kocaeli, Turkey.
Murat
M
Ustuner
Department of Urology, School of Medicine, University of Kocaeli, Kocaeli, Turkey.
Hasan
H
Yilmaz
Department of Urology, School of Medicine, University of Kocaeli, Kocaeli, Turkey.
Ufuk
U
Yavuz
Department of Urology, Hakkari State Hospital, Hakkari, Turkey.
Turgay
T
Gulecen
D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D061646:Operative Time; D011474:Prosthesis Design; D012189:Retrospective Studies; D053825:Suburethral Slings; D013997:Time Factors; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*; D014554:Urination; D013520:Urologic Surgical Procedures / Q000379:methods*