Journal of Isfahan Medical School

Journal of Isfahan Medical School

Transobturator Tape (TOT) and Suprapubic Arc (SPARC) in Women with Stress Urinary Incontinence: A Comparison between Two Minimally Invasive Treatments

Document Type : Original Article (s)

Authors
Mahtab Zargham 1
Zahra Sadat Allameh 2
Sodabeh Dokhani 3
Farshid Alizadeh 1
Mohmad Hatef Khorami 4
Mohamad Hossein Izadpanahi 1
Farhad Tadayon 1
1 Assistant Professor, Department of Urology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Associate Professor, Department of Gynecology, Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
3 Resident, Department of Gynecology, School of Medicine And Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran
4 Associate Professor, Department of Urology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
Background: Stress urinary incontinence (SUI) is very prevalent in middle-aged women. Minimal invasive anti-incontinence surgery is the most common surgery for treating the problem. The purpose of this study was to compare the therapeutic results and complications of minimally invasive anti-incontinence operative procedures for middle-aged women with SUI.Methods: We prospectively evaluated 146 women with SUI, who underwent suprapubic arc (SPARC) or transobturator (TOT) sling by the same surgeon.Findings: Concurrent anterior prolepses repair was performed in 43 (59.7%) and 29 (39.2%) patients in the SPARC and TOT groups, respectively. Objective cure rate was 90% and 93% respectively in the SPARC and TOT groups. Voiding difficulties were observed in 8 (11.1%) cases of the SPARC group and 13 (17.6%) patients of the TOT group. Urethrolysis and complete mesh removal were necessitated in 2 cases of the SPARC group. Regional and pelvic pains were observed in 3 (4.2%) and 10 (13.5%) patients of the SPARC and TOT groups, respectively. Vaginal erosion occurred in 8 (11.1%) and zero individuals of the SPARC and TOT groups, respectively Conclusion: The short-term anti-incontinence effects of SPARC and TOT were much similar. However, chronic pelvic and groin pain (with movement) occurred in 13.5% of women in the TOT group which implies the need for further study to determine the best technique in active women.
Keywords
Stress Urinary Incontinence
Trans vaginal sling
Transobturator sling
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Journal of Isfahan Medical School
Volume 29, Issue 172 - Serial Number 172
November and December 2012
Pages 2855-2864

  • Receive Date 11 September 2011
  • Accept Date 06 April 2022