COMPARISON BETWEEN TENSION FREE VAGINAL TAPE VERSUS AUTOLOGUS FASCIAL SLING TECHNIQUE IN THE MANAGEMENT OF STRESS URINARY INCONTINANCE IN DUHOK CITY
Background: Stress urinary incontinence is a common urogynecological problem worldwide that impact the quality of life which mandates either conservative approach or corrective surgery.
Objective: To compare the postoperative outcomes of tension free vaginal tape (TVT) and autologous fascial sling (AFS) in the management of stress urinary incontinence.
Methods: A quasi-experimental study was conducted from September, 2014 through September, 2015 at Azadi Teaching hospital and Vajeen private hospital. A sample size of 40 cases was taken comprising 23 TVT cases and 17 AFS. The recruited patients at childbearing age and menopause presented with the diagnostic criteria of stress urinary incontinence were included in the study. Patients were followed-up at 2 weeks, 3 months and 6 months.
Results: Patients undergone tension free vaginal tape took shorter operative time (30.63 versus 73.58 minutes) and less hospital stay days (1.87 versus 4.18 days). Both techniques have almost the same postoperative outcomes.
Conclusions: Both TVT and AFS have comparable efficacy and safety in the treatment of SUI with almost the same postoperative outcome in a short and medium term follow up. However, when Compared to AFS, TVT technique takes shorter operative time and less hospital stay.