The Effect of Patient Position during Mid-Urethral Sling Operations on the Postoperative Outcomes of Sling Success: A Randomized Clinical Study

Aims: To determine and compare the effectiveness, periand postoperative outcomes of mid-urethral sling (MUS) operations for urinary incontinence, using 2 different patient positions during surgery. Methods: In this study, 146 patients underwent MUS surgery in a urogynecology clinic. Of them, 72 patients underwent the intraoperative surgical procedure of reverse trendelenburg patient positioning for tape adjustment (group 1) and the remaining 74 patients had the routine surgical procedure of MUS surgery (group 2). The primary outcome was the evaluation of postoperative urine leaks, using the stress test, and secondary outcomes were quality of life, using the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF, Turkish version) and complication rates. Results: There were no significant differences in demographic variables between the Received: May 20, 2015 Accepted: October 12, 2015 Published online: November 4, 2015 Erbil Karaman, Assistant Professor Yuzuncu Yil University, School of Medicine Department of Obstetric and Gynecology TR–65080 Van (Turkey) E-Mail erbil84 @ gmail.com © 2015 S. Karger AG, Basel 0378–7346/15/0814–0302$39.50/0