PURPOSE: To evaluate long-term (over 4  years) functional outcomes and quality of life of transobturator (TOR) and retropubic (RPR) routes in the cure of stress @entity322 (SUI). METHODS: Prospective, randomized multicentre study involving 88 @entity1 with SUI from March 2004 to May 2005 (RPR group (n  =  42), TOR group (n  =  46)). Long-term functional results and quality of life were evaluated using validated questionnaires and compared with those observed at the first year. RESULTS: Eight @entity1 (19%) in the RPR group and 9 @entity1 (19.5%) in the TOR group were lost to follow-up (NS). The mean follow-up in the RPR and the TOR groups was 52.7  months and 53.1  months, respectively. In intention to treat, the success rate at 4  years was 64.3% in the RPR group and 69.5% in the TOR group (NS). At 4  years, no significant differences in the IIQ scores were observed in either group compared to the preoperative scores with no difference between the groups (RPR group: 32 vs. 14.9 (NS), TOR group: 25.7 vs. 21.4 (NS)). Compared to 1  year UDIQ and IIQ scores, a decrease in quality of life was observed for both groups at 4  years (RPR group: 4.7 vs. 34 (P  <  0.0001) and 2.6 vs. 14.9 (P  <  0.001), TOR group: 1.2 vs. 38.7 (P  <  0.0001) and 0 vs. 21.4 (P  <  0.0001)) without difference between the groups. CONCLUSIONS: This study shows similar relatively high long-term success rates for both the RPR and TOR procedures. @entity1 should be informed about a possible time-dependent alteration in functional results.

Four-year functional results of the suburethral sling procedure for stress XXXX : a French prospective randomized multicentre study comparing the retropubic and transobturator routes.

@entity1 :: ('9606', 'Species') :: ['patients', 'women', 'Patients'] @entity322 :: ('MESH:D014549', 'Disease') :: ['urinary incontinence']
@entity322 :: (MESH:D014549,Disease) :: ['urinary incontinence']
