ISSN: 2578-4676
Authors: Mohamed Elkhamesy, Ahmed A Selim and Bassem S Wadie*
Objective: Evaluation of the subjective and objective cure rates as well as adverse events of 3 major procedures used for treatment of SUI. We also compared them in attempt to explore their long-term efficacy and safety Materials and Methods: All baseline demographic data as well as clinical data including stress and pad tests were collected. Urodynamics at baseline and at last follow up were reported together with UDSi-6 and IIQ-7 symptoms scores of all women included. SPSS was used for statistical analysis. Results: Study included 65 women; 32 underwent PVS while 19 TVT and 14 TOT with a mean age was 46.55 ± 7.07. All were followed to a minimum of 5 years (Median: 9 years). 39 had isolated stress incontinence while 26 had MUI. 30 had grade I POP and 5 patients had grade II POP. 40 women (61.5%) underwent sling only, while 38.5% underwent concomitant surgery for POP. At last follow up, 58 patients had no POP while 7 patients had. Stress test was negative in 55 patients while ten patients had positive stress test. Quality of life at last follow up showed no significant difference among treatment groups Conclusion: Synthetic MUS were comparable to PVS at long term follow up. All slings maintained a reasonable objective cure rate with time while no new adverse events develop after 5 years.
Keywords: Sling; MUS; Long-term; Outcome
