Surgical Correction of Female Urinary Incontinence: Comparison of Colporrhaphy, Sling and Suspension Procedures

Abstract

Objective: To analyse clinical outcomes of three types of pelvic surgery for the correction of female mixed or stress urinary incontinence. Methods: Women who underwent surgery for urinary incontinence between January 2000 and June 2010 were included in the study ( n = 268). Patients were nonrandomly assigned to undergo colporrhaphy, suspension procedure or sling procedure according to their clinical situation. Perioperative parameters were recorded. Short- (< 5 years) and long-term (5 - 10 years) success rates were determined for each group. Results: The short- and long-term complete cure rates were significantly lower, and the duration of catheterization significantly longer, in patients who underwent colporrhaphy compared with both other groups, but there were no significant differences between suspension or sling procedures. Conclusion: Sling and suspension procedures were equally effective in this study, and both were preferable to colporrhaphy.