A randomized, controlled trial comparing an innovative single incision sling with an established transobturator sling to treat female stress urinary XXXX .

@entity1 @entity282 @entity322 @entity158
PURPOSE: Mid urethral sling procedures have become the surgical treatment of choice for female stress urinary @entity322 . Innovative modifications of mid urethral sling procedures were recently introduced with the claim of offering similar efficacy and decreased morbidity. We compared the efficacy and morbidity of an innovative single incision mid urethral tape and an established transobturator procedure. MATERIALS AND METHODS: We performed a prospective, randomized, controlled trial in 6 teaching hospitals in Belgium and The Netherlands between 2007 and 2009. A total of 96 @entity1 received a TVT Secur    single incision sling and 98 received a TVT    Obturator System. We collected data on @entity1 characteristics, surgery related parameters, adverse events, clinical followup, Urogenital Distress Inventory and SF-36   scores, validated questionnaires on daily life activities and visual analog scores objectifying @entity158 . Followup was 1 year. RESULTS: One-year followup was available for 75 single incision sling and 85 obturator system cases. Stress urinary @entity322 could be objectified in 16.4% of the @entity1 with a single incision sling and in 2.4% with an obturator system (p <0.05). Stress urinary @entity322 was subjectively reported by 24% of single incision sling and 8% of obturator system @entity1 (p <0.05). One year after surgery the mean    SD UDI @entity322 domain score in the single incision sling and obturator system groups was 21    24 and 13    21, respectively (p <0.01). @entity1 with a single incision sling experienced significantly less @entity158 during the first 2 weeks after surgery (p <0.05) and returned significantly earlier to normal daily activity. The OR of re-intervention for stress urinary @entity322 1 year after receiving a single incision sling vs an obturator system was 2.3 (95% CI 1.9-2.7). CONCLUSIONS: The single incision sling procedure is associated with less @entity282 and a lower objective cure rate than the obturator system procedure.
