Sling retropúbico e transobturatório no tratamento da incontinênca urinária de esforço

• Autor(a) principal: Tanuri, Andrea Lopes Salzedas [UNIFESP]
• Data de Publicação: 2010
• Outros Autores: Feldner Junior, Paulo Cezar [UNIFESP], Bella, Zsuzsanna I.k. Jarmy-di [UNIFESP], Castro, Rodrigo de Aquino [UNIFESP], Sartori, Marair Gracio Ferreira [UNIFESP], Girão, Manoel João Batista Castello [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S0104-42302010000300022; http://repositorio.unifesp.br/handle/11600/5569
• topic: Urinary incontinence, stress; Urogenital surgical procedures; Surgical procedures, minimally invasive; Incontinência urinária por estresse; Procedimentos cirúrgicos urogenitais; Procedimentos cirúrgicos minimamente invasivos

OBJECTIVE: The aim of this study was to compare results of retropubic and transobturator sling for surgical treatment of female stress urinary incontinence (SUI). METHODS: Thirty randomized patients with SUI were divided in two groups, twenty who underwent the transobturator sling and ten the retropubic sling procedure. .Patients were assessed before and after one, six and twelve months of treatment by clinical history, physical examination, quality of life questionnaire (King's Health Questionnaire), pad test and urodynamic parameters. At preoperative both groups were homogenous. RESULTS: One year after surgery, incontinence and quality of life questionnaire parameters had improved significantly in both groups and there was no difference between them. There was significant reduction in the pad test in both groups. Concerning urodynamic evaluation, one year after surgery cure rates were 84.2% for the transobturator group and 88.8% for the retropubic,. Subjective cure rate was 85% in the transobturator group and 88.8% in the retropubic. No statistical difference was found in complications rates. CONCLUSION: Retropubic and transobturator slings were effective in treatment of female SUI at one-year follow-up. Both techniques had significant cure rates and improved the quality of life with few complications.