title: Comparison of Transobturator Tape and Mini-Sling Tissue Fixation in Female Patients Who Had Stress Urinary Incontinence.
abstract: BACKGROUND
  Urinary incontinence is a significant medico-social problem and its incidence increases up to 70% in the postmenopausal period.
  
  
  OBJECTIVE
  We aimed to compare the efficacy and safety of transobturator adjustable tape (TOT) and mini sling in female urinary incontinence.
  
  
  METHODS
  A total of 69 patients were included in the study. Single surgeon applied TOT (n=56 with ISD) or 13 mini sling (n=13 with ISD). Patients were considered to have ISD identified by a Valsalva leak point pressure (VLPP) measurement<60 cm H2O with a volume of 150 mL in the bladder or by a maximum urethral closure pressure (MUCP) measurement<20 cm H2O with a volume of 200 mL in the bladder. The mean follow-up period was 25 months for TOT group and 24 months for mini sling group (p=0.72).
  
  
  RESULTS
  The cough test was negative in 48 of TOT group (86%) and 11 of mini sling group (84.6%). ICIQ-SF scores for the median value decreased from 14 (11-21) preoperatively to 3 (0-9) postoperatively (p<0.05) in the TOT group, and 15 (12-23) preoperatively to 4 (0-10) postoperatively (p<0.05) in the mini sling group. The difference in the decrease of the score between two groups was not statistically significant (p=0.42). There was not any significant complication to note. The mean hospital stay for TOT group was 2.1 days (1-5), and 1.4 days (1-3) for mini sling group (p=0.12). Operation time was was significantly lower in mini-sling group than TOT group (11.6 vs. 18.4, p<0.01).
  
  
  CONCLUSIONS
  Both TOT and mini-sling procedures are successful and safe procedures in the treatment of female stress urinary incontinence with ISD.
authors.affiliation: Department of Urology, Bozok University Medical Faculty, Yozgat, Turkey.
authors.forename: Kursat
authors.initials: K
authors.lastname: Zengin
authors.affiliation: Department of Obstetrics and Gynecology, Bozok University Medical Faculty, Yozgat, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Kara
authors.affiliation: Department of Urology, Bozok University Medical Faculty, Yozgat, Turkey.
authors.forename: Serhat
authors.initials: S
authors.lastname: Tanik
authors.affiliation: Department of Urology, Diskapi Training and Research Hospital, Ankara, Turkey.
authors.forename: Memduh N
authors.initials: MN
authors.lastname: Sertcelik
authors.affiliation: Department of Urology, Diskapi Training and Research Hospital, Ankara, Turkey.
authors.forename: Asir
authors.initials: A
authors.lastname: Eraslan
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D007902:Length of Stay; D008875:Middle Aged; D053825:Suburethral Slings; D013997:Time Factors; D016896:Treatment Outcome; D014521:Urethra / Q000503:physiopathology / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics / Q000502:physiology; D013520:Urologic Surgical Procedures / Q000379:methods*