For Stress Incontinence, Which Midurethral Sling Is Better?

Efficacy of retropubic and transobturator approaches were equivalent, but adverse event profiles differed.

As many as half of U.S. women experience urinary incontinence associated with impaired quality of life. Midurethral sling procedures are effective and less invasive than older surgeries, making this treatment the first choice for women with stress incontinence. In a randomized 12-month trial that involved nine clinical sites and 43 surgeons, investigators assessed efficacy and adverse events associated with two midurethral sling approaches: retropubic and transobturator.

Of 565 evaluable women (mean age, 53) who completed 12 months of follow-up, objective criteria for treatment success were met by 81% and 78% of those in the retropubic and transobturator groups, respectively; based on subjective (patient-reported) criteria, 62% and 56% of wo…

Reviewing Author

Andrew M. Kaunitz, MD

Disclosures

RoyaltiesUpToDate

Grant/Research SupportMerck, Mithra, Medicines360

Editorial BoardsContraception; Menopause; Contraceptive Technology Update; OBG Management; Medscape OB/GYN & Women’s Health

Andrew M. Kaunitz, MD

Disclosures

RoyaltiesUpToDate

Grant/Research SupportMerck, Mithra, Medicines360

Editorial BoardsContraception; Menopause; Contraceptive Technology Update; OBG Management; Medscape OB/GYN & Women’s Health

For Stress Incontinence, Which Midurethral Sling Is Better?

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Reviewing Author