PURPOSE: To compare the results of Pubovaginal sling and Vaginal wall sling for the treatment of stress @entity322 in females. MATERIAL AND METHOD: Between February 2001 and December 2001, a randomized controlled trial was done to compare safety and efficacy of pubovaginal sling versus vaginal wall sling in the management of @entity1 with @entity322 . Fifteen @entity1 42-68 years old (mean age 51.3 years) were treated with @entity4438 (group A) and 11 @entity1 45-60 years old (mean age 50.4 years) with vaginal wall sling (group B). Twenty-one @entity1 had type II SUI and 5 @entity1 had type III SUI (ISD); none had pre-operative detrusor instability. Measures of outcome included efficacy based on SEAPI-QMN, post-operative presence of stress or urge @entity322 , frequency of complications, operative time, post-operative @entity158 , length of hospitalization, length of clean intermittent catheterization (CIC) time and mean global evaluation. RESULTS: All @entity1 were followed for at least 3 months after surgery (median 7 months). A total of 20 and 6 @entity1 received spinal and general anesthesia, respectively. SEAPI-QMN decreased from a median of 6.3 to 0.8 for group A and from 6.1 to 0.9 for group B. No @entity1 in either group had persistent @entity3142 . Urge @entity322 was present in 2 of group A @entity1 and 1 of group B @entity1 . No serious post-operative complications were encountered in both groups. Post-operative @entity158 and operative times for group B @entity1 were significantly lower than for group A @entity1 . Length of hospitalization, length of CIC time and mean global evaluation were not significantly different between the two groups. CONCLUSION: In the short-term, both pubovaginal sling and vaginal wall slings were effective in the treatment of @entity1 with SUI. However, the use of vaginal wall sling resulted in significantly shorter operative times and lower post-operative @entity158 compared with pubovaginal sling. Therefore, the vaginal wall sling should be the prefered treatment for SUI.

A randomized controlled trial of pubovaginal sling versus vaginal wall sling for stress XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient'] @entity322 :: ('MESH:D014549', 'Disease') :: ['urinary incontinence', 'incontinence'] @entity4438 :: ('MESH:C563219', 'Disease') :: ['fascial sling'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity3142 :: ('MESH:D014550', 'Disease') :: ['stress incontinence']
@entity322 :: (MESH:D014549,Disease) :: ['urinary incontinence']
