ABSTRACT

INTRODUCTION:

We aimed to perform a randomised controlled trial (RCT) comparing the efficiency of transobturator tape (TOT) operation against an adjustable minisling, the tissue fixation system (TFS), in the treatment of urodynamically proven stress urinary incontinence.

METHODS:

The trial comprised 80 patients with urodynamically proven stress urinary incontinence. The patients were randomly allocated to either TOT group (group I) or TFS group (group II). Total follow period was 36 months. The objective cure rates in TFS group and TOT group were 90% and 84%, respectively, and the difference was statistically significant (p<0.05). Operation time: 5±1 min in TFS group, 12± 1 in TFS group (p<0.05). Postoperative groin pain was significantly high in TOT group (12 patients). Both operations had positive effects on the quality of life (QoL) measures.

CONCLUSION:

The TFS showed better objective outcomes in comparison to TOT.