Cinta suburetral versus cinta transobsturatriz en el tratamiento de la incontinencia urinaria de esfuerzo femenina

Alejandro Siu Au; Juan Mere del Castillo; Italo Gutiérrez; Arnaldo Silva; Roberto Avila; José Pacheco-Romero

doi:10.31403/rpgo.v66i2229

Authors

Alejandro Siu Au Gynecologist, Doctor of Medicine, Head of the Department of Gynecology and Obstetrics at the Arzobispo Loayza National Hospital, Lima, Peru; Senior Professor, Cayetano Heredia University, Lima, Peru
Juan Mere del Castillo Gynecologist, Head of the Gynecology Service at the Arzobispo Loayza National Hospital, Lima, Peru
Italo Gutiérrez Attending physician, Gynecology Service at the Arzobispo Loayza National Hospital, Lima, Peru
Arnaldo Silva Attending physician, Gynecology Service at the Arzobispo Loayza National Hospital, Lima, Peru
Roberto Avila Attending physician, Gynecology Service at the Arzobispo Loayza National Hospital, Lima, Peru
José Pacheco-Romero Extraordinary Professor, Coordinator MEGEMAPE research group, National University of San Marcos, Lima, Peru

DOI:

https://doi.org/10.31403/rpgo.v66i2229

Abstract

Introduction: The surgical management of stress urinary incontinence uses the transobturator tape (TOT) technique since 2006. We present a study applying the suburethral tape as a better alternative that does not require the TOT needle. Objective: To demonstrate the advantages of the suburethral tape placement technique over the transobturator tape technique in the surgical treatment of stress urinary incontinence. Methods: Observational comparative study using the noninvasive suburethral tape placement versus the transobturator tape technique. Results: Fifty patients were treated with TOT for stress urinary incontinence and other 50 patients were managed with suburethral tape placement (UTP) in the previous shift the same day or the preceding day. The TOT patients were 56 years old on average, and time of the procedure was 18 minutes on average. Complications included pain in the inguinal area (13 cases), mesh extrusion (2 cases), and suture dehiscence of anterior colporrhaphy, presence of left inguinoperineal granuloma due to mesh reaction and bruising in the left obturator area (one case of each). The 50 patients treated with UTP were 56 years old on average, operating time was 7 minutes on average, and there were no complications. The cost of the TOT kit was about US$ 1 000.00, and the suburethral tape cost was US$ 50.00. Conclusions: In this study of stress urinary incontinence treatment, the suburethral tape technique was safer than the transobturator tape technique and had a lower cost.