Short-term outcomes of mini-sling <i>versus</i> transobturator tape in the surgical management of women with stress urinary incontinence. A randomized controlled trial

The objective of this prospective randomized study was to assess the efficacy and safety of mini-sling in the management of female stress urinary incontinence (SUI) as compared to transobturator tape (TOT). A total of 42 female patients with SUI were included in this study. Patients were randomized...

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Main Authors: Ahmed Emam, Khaled Teama, Tarek Salem
Format: Article
Language:English
Published: PAGEPress Publications 2024-12-01
Series:Urogynaecologia International Journal
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Online Access:https://www.urogynaecologia.org/index.php/uij/article/view/334
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author Ahmed Emam
Khaled Teama
Tarek Salem
author_facet Ahmed Emam
Khaled Teama
Tarek Salem
author_sort Ahmed Emam
collection DOAJ
description The objective of this prospective randomized study was to assess the efficacy and safety of mini-sling in the management of female stress urinary incontinence (SUI) as compared to transobturator tape (TOT). A total of 42 female patients with SUI were included in this study. Patients were randomized into two equal groups, underwent either the TOT or the mini-sling procedure, and were followed up for 6 months. Compared to the TOT group, the mini-sling group had a statistically significant shorter operative time, less estimated blood loss, and a lower postoperative pain score. There was no statistically significant difference between both groups as regards postoperative fever, hospital stay, or vaginal erosion. The International Continence Index questionnaire showed a statistically significant improvement within each group after surgery, with the TOT group showing a statistically significant marginal improvement compared to the mini-sling group. Urodynamic testing showed no statistically significant difference between both groups regarding the first sensation of bladder filling, functional bladder capacity, maximal bladder capacity, postvoiding residual urine, and maximal flow rate. Both mini-slings and TOT were found to be safe and effective in treating female SUI with no clinically significant difference between both procedures.
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2038-8314
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series Urogynaecologia International Journal
spelling doaj-art-3b2f50c7a2ea42b6911428de3cf18e4c2024-12-16T13:27:10ZengPAGEPress PublicationsUrogynaecologia International Journal1121-30862038-83142024-12-0136110.4081/uij.2024.334Short-term outcomes of mini-sling <i>versus</i> transobturator tape in the surgical management of women with stress urinary incontinence. A randomized controlled trialAhmed Emam0https://orcid.org/0000-0002-7677-0461Khaled Teama1Tarek Salem2https://orcid.org/0009-0004-0188-516XDepartment of Urology, Ain Shams University, CairoDepartment of Urology, Ain Shams University, CairoDepartment of Urology, Ain Shams University, Cairo The objective of this prospective randomized study was to assess the efficacy and safety of mini-sling in the management of female stress urinary incontinence (SUI) as compared to transobturator tape (TOT). A total of 42 female patients with SUI were included in this study. Patients were randomized into two equal groups, underwent either the TOT or the mini-sling procedure, and were followed up for 6 months. Compared to the TOT group, the mini-sling group had a statistically significant shorter operative time, less estimated blood loss, and a lower postoperative pain score. There was no statistically significant difference between both groups as regards postoperative fever, hospital stay, or vaginal erosion. The International Continence Index questionnaire showed a statistically significant improvement within each group after surgery, with the TOT group showing a statistically significant marginal improvement compared to the mini-sling group. Urodynamic testing showed no statistically significant difference between both groups regarding the first sensation of bladder filling, functional bladder capacity, maximal bladder capacity, postvoiding residual urine, and maximal flow rate. Both mini-slings and TOT were found to be safe and effective in treating female SUI with no clinically significant difference between both procedures. https://www.urogynaecologia.org/index.php/uij/article/view/334Mini-slingtransobturator tapestress urinary incontinence
spellingShingle Ahmed Emam
Khaled Teama
Tarek Salem
Short-term outcomes of mini-sling <i>versus</i> transobturator tape in the surgical management of women with stress urinary incontinence. A randomized controlled trial
Urogynaecologia International Journal
Mini-sling
transobturator tape
stress urinary incontinence
title Short-term outcomes of mini-sling <i>versus</i> transobturator tape in the surgical management of women with stress urinary incontinence. A randomized controlled trial
title_full Short-term outcomes of mini-sling <i>versus</i> transobturator tape in the surgical management of women with stress urinary incontinence. A randomized controlled trial
title_fullStr Short-term outcomes of mini-sling <i>versus</i> transobturator tape in the surgical management of women with stress urinary incontinence. A randomized controlled trial
title_full_unstemmed Short-term outcomes of mini-sling <i>versus</i> transobturator tape in the surgical management of women with stress urinary incontinence. A randomized controlled trial
title_short Short-term outcomes of mini-sling <i>versus</i> transobturator tape in the surgical management of women with stress urinary incontinence. A randomized controlled trial
title_sort short term outcomes of mini sling i versus i transobturator tape in the surgical management of women with stress urinary incontinence a randomized controlled trial
topic Mini-sling
transobturator tape
stress urinary incontinence
url https://www.urogynaecologia.org/index.php/uij/article/view/334
work_keys_str_mv AT ahmedemam shorttermoutcomesofminislingiversusitransobturatortapeinthesurgicalmanagementofwomenwithstressurinaryincontinencearandomizedcontrolledtrial
AT khaledteama shorttermoutcomesofminislingiversusitransobturatortapeinthesurgicalmanagementofwomenwithstressurinaryincontinencearandomizedcontrolledtrial
AT tareksalem shorttermoutcomesofminislingiversusitransobturatortapeinthesurgicalmanagementofwomenwithstressurinaryincontinencearandomizedcontrolledtrial