Immediate and long-term results of two variants of sling surgery for surgical correction of stress urinary incontinence in women

• DOI: 10.15574/pp.2024.3(99).6773
• Publication Date: 2024-11-20T23:09:25Z
• Authors: K.V. Chaika; K.I. Bohadelnikova; ; V.A. Shamrai; ; I.L. Kukuruza; ; N.M. Homon; ; P.P. Slobodian; ; O.O. Hryshchenko
• Keywords: Sling (weapon); Stress incontinence

The problem of urinary incontinence is one the leading causes deterioration quality life women various age categories. Modern and effective surgical treatment this pathology sling surgery. Therefore, search for optimal variant such an operation remains actual direction in modern gynecology. Aim - to compare immediate long-term results two variants operations stress incontinence. Materials methods. A comparative study outcomes after surgery correction was conducted 84 who were divided into groups. In 1st group, plastic with a free synthetic loop (TVT) performed, 2nd group using transobturator arrangement prolene (TVT-Obturator TVT-О). All patients comprehensively examined clinical, instrumental laboratory research Statistical data processing carried out SPSS 21 program. Results. analysis sonographic indicators state urethrovesical segment both groups established significant decrease angle inclination posterior angle. There no differences these parameters between I II groups, which proves comparable effectiveness TVT TVT-O regarding anatomical defect. Instead, it that technique allows achieve higher frequency cases complete continence 2 years 87.9% versus 67.9% as well lower number urges episodes urge 1 year (p=0.047 p=0.03, respectively) (p=0.012 p=0.02, installation. Conclusions. obtained indicate efficiency options installation, however, operation, according evaluation functional intervention, statistically significantly than operation. accordance principles Helsinki Declaration. protocol approved by Local Ethics Committee participating institution. informed consent patient conducting studies. No conflict interest declared authors.