Transobturator versus retropubic synthetic slings: comparative efficacy and safety.

Abstract:

PURPOSE OF REVIEW:To review the reported effectiveness and safety of transobturator (TransOburator route, TOR) versus retropubic (retropubic tape) synthetic mid-urethral slings discussing the controversy existing on which of these procedures is best. RECENT FINDINGS:From August 2009 to January 2011 three meta-analyses of the pertinent topic were identified. They concluded that TOR was less favourable than the retropubic tape in objective cure rates without any significant difference in subjective cure rates. Moreover TOR showed a shorter operating time and less serious perioperative complications than retropubic tape, also when using a standardized complications grading system. The most recent RCTs confirmed these results. SUMMARY:TOR showed similar short and mid-term subjective cure rates compared to retropubic tape; with a shorter operating time and a lower risk of perioperative complications. Subjective cure rates and patient satisfaction are crucial, thus, patient-report outcomes should be used as the primary outcome measure for all trials of incontinence treatments. The absence of standard methods for assessment of anti-incontinence procedures and the use of different methods to evaluate safety and effectiveness led to reporting of different rates of success and complications for the same procedure, making it difficult to compare data, to draw conclusions or make recommendations.

journal_name

Curr Opin Urol

authors

Cerruto MA,Artibani W

doi

10.1097/MOU.0b013e3283476edb

subject

Has Abstract

pub_date

2011-07-01 00:00:00

pages

275-80

issue

4

eissn

0963-0643

issn

1473-6586

pii

00042307-201107000-00004

journal_volume

21

pub_type

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