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Collegium antropologicum, Vol. 38 No. 3, 2014.

Professional paper

Efficacy of Sling Procedures for Treatment of Female Stress Urinary Incontinence

Damir Hodžić ; University of Zagreb, University Hospital »Merkur«, Department of Gynecology and Obstetrics, Zagreb, Croatia
Tomislav Župić ; University of Zagreb, School of Medicine, Department of Gynecology and Obstetrics, Zagreb, Croatia
Vjekoslav Mandić ; University Clinical Hospital Mostar, Department of Gynecology and Obstetrics, Mostar, Bosnia and Herzegovina
Josip Valetić ; University of Zagreb, University Hospital »Merkur«, Department of Gynecology and Obstetrics, Zagreb, Croatia
Ante Gojević ; University of Zagreb, School of Medicine, Department of Surgery, Zagreb, Croatia
Slavko Orešković ; University of Zagreb, School of Medicine, Department of Gynecology and Obstetrics, Zagreb, Croatia

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Abstract

The aim of this study was to determine the efficacy and surgical outcome of the sling procedures in stress incontinent women in comparison to conventional anterior colporrhaphy. Total of 56 patients with stress urinary incontinence (SUI) were treated with sling procedure between November 2011 and March 2013, 39/56 (69.6%) with suprapubic arc (SPARC) and 17/56 (30.4%) with MiniArc method. During the same period total of 49 patients with SUI were treated with traditional anterior colporrhaphy according to Bagović method as the control group. All patients were prospectively clinically assessed over a period of 3, 6 and 12 months after surgery. The objective cure rate after the follow-up was 92.9% (52/56) in observed group of patients and 79.6% (39/49) in control group and improvement was occurred in rest of 5.4% (3/56) and 18.4% (9/49), respectively (p<0.05). The overall complications rate was significantly lower in the observed group of patients than in the control group, 12.5% (7/56) vs. 28.6% (14/49), (p<0.05). In the sling group was postoperatively noticed slightly higher rate of urinary incontinence, but in the colporrhaphy group was emphasized rate of urinary retention. Only one from the each group of patients failed the surgical procedure and required additional correction for SUI. The mean operating time for SPARC and MiniArc procedure was 19±7 and 9±5 minutes, respectively (p<0.0001). Mean duration of hospitalization was significantly shorter in the sling group of patients (2.6±1.0, range 2-7) days than in the control group of (9.6±1.8, range 6-18), (p<0.001<0.0001). According to presented results, sling is a highly effective method in patients with SUI with low incidence of perioperative complications, promising long-term results and high patient's satisfaction.

Keywords

stress urinary incontinence; females; sling; treatment; efficacy

Hrčak ID:

128227

URI

https://hrcak.srce.hr/128227

Publication date:

30.9.2014.

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