Midurethral synthetic tuneable tension tape in treatment of stress urinary incontinence in women.

Introduction. The use of midurethral synthetic slings is currently considered to be the most widespread treatment option for stress urinary incontinence (SUI). difficult in existing approaches achieve optimal tension sling, on which result directly depends. To solve this problem, sling systems with possibility adjustment early postoperative period were created. A comparative study effectiveness and safety such a system without seems relevant task. Materials Methods. involved 320 female patients mean age 55.2±11.2 years confirmed diagnosis SUI. allocated into two groups: first group underwent suburethral by standard technique (TOT); second received mobilization (TTT). All test, uroflowmetry ultrasound investigation determine volume residual urine. UDI-6, ICIQ-SF, PISQ-12 questionnaires filled out assess subjective efficiency. Results. In group, 28% needed increase prosthesis. Due tightening period, operation was ineffective at delayed follow-up stage 36 months only 11% women TTT 32% LTT p<0.001. Loosening required every fourth patient group. Signs obstructive urination persisted 13 TOT completely absent Subjective satisfaction higher amounted 82%. Conclusion. mid-urethral tuneable tape superior classic capability long-term efficacy safety.