Comparative study of the treatment results using mesh prosthesis in women with urinary incontinence

Stress urinary incontinence in women is one of the actual urogynecological problems, which negatively influences the life quality, professional and personal activity and makes the women social vulnerable. Minimal invasive free-implanted synthetic meshes (predominately, polypropylene) are preferred to the bucket of the other used methods and considered as a “gold standard” in the treatment of this disease. This investigation was aimed to compare the efficacy of different types of slings according to the clinical and subjective parameters: TVT, TVT-obturator, TVT-secur, IVS, IVS-obturator, Aris and Urosling. All studied meshes showed high efficacy estimated both objectively and subjectively within a follow-up of 1-24 months. Summary effect (no incontinence and substantial improvement) was in a range from 95.3% (TVT) up to 97.4 (TVT-O). Significance was not reached for superiority when individual types of meshes were analyzed. The complication rate was similar between the groups and was no statistically significant. Economical benefit was shown for Urosling mesh (Lyntex, Saint-Petersburg, Russia), which showed comparable efficacy result but at reduced (at 18000-21000 rubles) cost while compared with TVT-secur, TVT-O and TVT.