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Erschienen in: International Urogynecology Journal 3/2005

01.06.2005 | Original Article

Randomized comparison of the suprapubic arc sling procedure vs tension-free vaginal taping for stress incontinent women

verfasst von: Ling-Hong Tseng, Alex C. Wang, Yi-Haou Lin, Shwu-Jen Li, Yet-Jane Ko

Erschienen in: International Urogynecology Journal | Ausgabe 3/2005

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Abstract

The purpose of this study was to compare the surgical outcome and attendant complications of the suprapubic arc (SPARC) sling and tension-free vaginal tape (TVT) procedures. Sixty-two women with genuine stress incontinence (GSI) alone or combined with pelvic prolapse less than International Continence Society (ICS) stage II were randomly allocated to either SPARC or TVT groups. A routine suprapubic ultrasonography was performed for all patients 1 day after the anti-incontinence operation. A comparison of the peri- and postoperative results comprising surgical outcomes and complications revealed no significant differences between the two groups. Although the difference in the rates of bladder injury was not statistically significant (SPARC 12.9 vs TVT 0.0%, p=0.112), it was clinically significant. Routine suprapubic ultrasonography revealed eight subjects had retropubic hematomas greater than 5 cm. The cure rate for SPARC was not significantly different from TVT (80.7 vs 87.1%, p=0.706). We concluded that the SPARC sling and TVT procedures proved to be equally effective. Subsequent suprapubic ultrasonography, in particular for the symptomatic patients, was found to be of clinical merit.
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Metadaten
Titel
Randomized comparison of the suprapubic arc sling procedure vs tension-free vaginal taping for stress incontinent women
verfasst von
Ling-Hong Tseng
Alex C. Wang
Yi-Haou Lin
Shwu-Jen Li
Yet-Jane Ko
Publikationsdatum
01.06.2005
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 3/2005
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-004-1248-3

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