Kvaliteta života bolesnica nakon "sling" operacija zbog statičke urinarne inkontinencije [Quality of life in patients after "sling" operations for stress urinary incontinence]

The aim of this study was to determine the efficacy and surgical outcome of the sling procedures in stress incontinent women in comparison to conventional anterior colporrhaphy. Total of 56 patients with stress urinary incontinence (SUI) were treated with sling procedure between November 2011 and March 2013, 39/56 (69,6%) with suprapubic arc (SPARC) and 17/56 (30,4%) with MiniArc method. During the same period total of 49 patients with SUI were treated with traditional anterior colporrhaphy according to Bagovic method as the control group. All patients were prospectively clinically assessed over a period of 3, 6 and 12 months after surgery. The objective cure rate after the follow-up was 92,9% (52/56) in observed group of patients and 79,6% (39/49) in control group and improvement was occurred in rest of 5,4% (3/56) and 18,4% (9/49), respectively (p<0,05). The overall complications rate was significantly lower in the observed group of patients than in the control group, 12,5% (7/56) vs. 28,6% (14/49), (p<0,05). In the sling group was postoperatively noticed slightly higher rate of urinary incontinence, but in the colporrhaphy group was emphasized rate of urinary retention. Only one from the each group of patients failed the surgical procedure and required additional correction for SUI. The mean operating time for SPARC and MiniArc procedure was 19±7 and 9±5 minutes, respectively (p<0,0001). Mean duration of hospitalization was significantly shorter in the sling group of patients (2,6±1,0, range 2-7) days than in the control group of (9,6±1,8, range 6-18), (p<0,001<0,0001). Comparing to conventional surgery, sling methods are safe and highly effective, with low incidence of perioperative complications, promising long-term results and high patient's satisfaction. Sling procedures are minimally invasive and body integrity preserving methods with favorable impact on patient's quality of life, including sex life improvement.