Long-term results of the use of suburethral loop plastic surgery with tension control in the treatment of urinary incontinence.

Introduction. Urinary incontinence is a disease that significantly reduces the quality of life in patients. Suburethral loop plasty still gold standard for treatment stress urinary incontinence, which highly effective, but also has number possible postoperative complications. The purpose this article to evaluate long-term results (after 4 years), effectiveness and safety use suburethral with tension control. Materials methods. Currently, there no single way adjust hinge during its installation. At Department Urology A.I. Yevdokimov Moscow State University Medicine Dentistry developed device control loop, presented form self-absorbable pad (damper layer) located middle synthetic prosthesis. A prospective, comparative, randomized study began 2018 showed high efficacy profile device. When analyzing 1 year after operation, surgical was 96%, rate complications infravesical obstruction 2%, de novo urgency group 6%. In study, we assessed mid-term outcomes (over years) through telephone survey filling validated questionnaires (Urogenital distress inventory – UDI-6, Incontinence Impact Questionnaire IIQ-7) among patients who underwent Results. average score on UDI-6 1.22 ±0.81, 1.2±0.77 IIQ-7 survey. After 48 months, slight increase scores, when compared 12 months treatment, not statistically significant (p>0.05). analysis individual clinical cases 10 noted worsening symptoms. Of these, 6 recurrence coughing, physical activity. Accordingly, subjective over 4-year follow-up period 88%. Conclusions. Efficacy data, medium-term control, are comparable world data. However, further monitoring long term required.