Objectives: to compare outcome between laparoscopic colposuspension using sutures versus mesh in patients with stress urinary incontinence Methods: 50 patients divided into 2 groups. 1st group included 25 patients managed by sutures and 2nd group included 25 patients managed by mesh and stables were diagnosed as having genuine stress incontinence by history, examination, direct observation and/or cystometrogram. At this time diagnosis was based on a history of leaking with coughing, laughing, sneezing or physical activity. All patients had a hypermobile urethra, demonstrated by a Q-tip test, which we defined as greater than 60 degree change with Valsalva. Patients with urge incontinence were excluded. Follow-up at 12 months was by telephone call from a nurse (KS) and consisted only of the following subjective question: ‘Are you dry, improved or not improved?’ Results: There were 50 patients in this series, of whom 25 patients underwent laparoscopic colposuspension by sutures and 25 patients underwent laparoscopic colposuspension by mesh. All patients were followed up for 12 months. 1st group Ages ranged from 27 to 68 years, average 41. Their weight ranged from 67 to 109 kilogram, average 88.2nd group Ages ranged from 29 to 65 years, average 40. Their weight ranged from 70 to 105 kilogram, average 83. Follow-up was by telephone call from a nurse (KS) and consisted only of the following subjective question: ‘Are you dry, improved or not improved?’. All patients were available for evaluation at 12 months since surgery. Regarding 1st group managed by sutures (25 patients) Of this number, 19 (76%) were dry; 3 (12%) were improved and 3 (12%) were not improved. Regarding 2nd group managed by mesh (25 patients) Of this number, 17 (68%) were dry; 3 (12%) were improved and 5 (20%) were not improved. Conclusion: Patients' outcome after Using sutures in laparoscopic colposuspension was comparable with Patients' outcome after using mesh and staples including success rate, operative time, hospitalization period and post operative complications. |
