title: [Assessments of long-term results of different types of sling procedures for stress urinary incontinence in women].
abstract: To evaluate long-term results of surgery for stress urinary incontinence in women using different types of sling procedures. The study included 698 patients aged 42 to 68 years (median 54 years) with stress urinary incontinence. TVT was used in 167 (23.9%) cases, TVT-O Gynecare system in 359 (51.4%), TVT-O Monarch system in 105 (15.0%), and TVT Secur mini-sling system - in 67 (9.6%). Follow-up ranged from 12 to 108 months (median 55 months). Patients' status was assessed using UDI-6 and IIQ-7 questionnaires, an improvised treatment satisfaction questionnaire, voiding diary, cough test and 1-hour Pad-test. The effectiveness of the treatment, according to objective criteria was 92.2%, 93.3%, 91.4% and 92.5% after surgery with TVT, TVT-O Gynecare, TVT-O Monarch and TVT Secur, respectively, and according to subjective criteria - 90.4%, 91.1%, 89.5% and 91.0%. No differences in the effectiveness of techniques were found. The data obtained in long-term observations of a large sample of patients treated with a variety of techniques in a single center showed the effectiveness and safety of modern sling procedures for correcting urinary incontinence in women.
authors.affiliation: Department of Urology and Surgical Andrology, Russian Medical Academy of Postgraduate Education.
authors.forename: O B
authors.initials: OB
authors.lastname: Loran
authors.affiliation: Department of Urology and Surgical Andrology, Russian Medical Academy of Postgraduate Education.|S.P Botkin City Clinical Hospital of Moscow Health Care Department.
authors.forename: A V
authors.initials: AV
authors.lastname: Seregin
authors.affiliation: Department of Urology and Surgical Andrology, Russian Medical Academy of Postgraduate Education.|S.P Botkin City Clinical Hospital of Moscow Health Care Department.
authors.forename: Z A
authors.initials: ZA
authors.lastname: Dovlatov
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D053825:Suburethral Slings; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000503:physiopathology* / Q000601:surgery*
keywords: long-term results; sling procedure; stress urinary incontinence