Objectives: to compare the operative and immediate post operative outcome measures between MiniArc and TVTs in the treatment of female urinary stress incontinence.
Patients &Methods: From April 2009 to June 2010, 25 patients who underwent surgical correction of USI using either TVTs or MiniArc systems were divided into 2 groups named The TVTs group that included 13 patients and MiniArc group that included 12 patients. The two groups were compared in regards to basic demographic data, relevant history, clinical evaluation, operative events, and immediate postoperative outcome measures. Statistical analysis was done using SPSS 16.Data expressed in mean ±SD were compared using student t test while Data expressed in No. and % were compared with Chi square test.
Results: Both groups were comparable in regards to the demographic data and clinical characteristics. MiniArc approach was found much easier operation with significant less: need for general anesthesia, operative time and blood loss when compared to the TVTs system. Concerning the immediate postoperative events, MiniArc use was associated with significant less: groin pain, need for narcotics and hospital stay than the TVTs. Overall complications were less reported with the use of the MiniArc approach.
Conclusion: The use of MiniArc showed a similar efficacy as an alternative to TVTs in the treatment of USI with better results and a decline of unfavorable outcomes.