GULHANE MEDICAL JOURNAL 2007 , Vol 49 , Issue 2
Results of the anti-incontinence surgery in female patients
Cabir Alan1, Bedrettin Seçkin1, Oktay Demirkesen2, Bülent Çetinel2, Koray Erten1, A. Önder Örs1, Lütfü Tahmaz1
1GATA Üroloji AD, Ankara
2İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Üroloji AD, İstanbul
In this study, results of the anti-incontinence surgery performed due to stress type urinary incontinence were evaluated. Of all the patients performed antiincontinence surgery due to genuine stress incontinence in different time periods between 1991 and 2004, 196 patients who can be contacted on phone were evaluated with the same questionnaire form. Eighty one patients performed Burch colposuspension between 1991 and 1998, 40 patients performed pubovaginal sling between 1995 and 2004, and 75 patients performed tension free vaginal tape between 2001 and 2004 were reached. In the questionnaire form 10, 5 and 4 questions were about continence, probable complications and patient satisfaction, respectively. Success rate was calculated considering only patients with no signs or symptoms of incontinence after surgery. In the Burch colposuspension group 28 (36%) of the 81 patients followed up with a mean period of 53.6 (38-94) months declared incontinence. In the pubovaginal sling group 12 (30%) of the 40 patients followed up with a mean period of 42.6 (7.1-107.9) months declared incontinence. In the tension free vaginal tape group 8 (11%) of the 75 patients followed up with a mean period of 21.6 (6-38.9) months declared incontinence. The most effective method in the surgical repair of urodynamical stres incontinence seems to be pubovaginal sling in the long term. Long term results of tension free vaginal tape should be seen to compare with the other treatment modalities. Keywords : Genuine stress incontinence, pubovaginal sling, tension free vaginal tape