TY - JOUR T1 - Outcome and complications of retropubic and transobturator midurethral slings translated into surgical therapeutic indices. AU - Houwert,R Marijn, AU - Roovers,Jan Paul W R, AU - Venema,Pieter L, AU - Bruinse,Hein W, AU - Dijkgraaf,Marcel G W, AU - Vervest,Harry A M, Y1 - 2009/10/20/ PY - 2009/04/03/received PY - 2009/06/08/revised PY - 2009/07/16/accepted PY - 2009/10/23/entrez PY - 2009/10/23/pubmed PY - 2010/3/2/medline SP - 75.e1 EP - 7 JF - American journal of obstetrics and gynecology JO - Am J Obstet Gynecol VL - 202 IS - 1 N2 - OBJECTIVE: We sought to determine and compare surgical therapeutic indices (STIs) of the retropubic tension-free vaginal tape (TVT) and 2 kinds of transobturator tape (TOT), Monarc (American Medical Systems, Minneapolis, MN), and tension-free vaginal tape obturator. STUDY DESIGN: This was a retrospective cohort study. Patients with predominant stress urinary incontinence who underwent retropubic (TVT, n = 257) or TOT (n = 180) procedures were included. STIs for both groups were calculated by dividing cure by complication rate at, respectively, 2 and 12 months. RESULTS: Two months after surgery the STI was significantly higher after TOT whereas 12 months after surgery results of STIs were equal. The explanation is more durable cure rates and declining long-term side effects after TVT procedures. CONCLUSION: Both surgical approaches seem to have their own benefits. Based on the STI, the balance between cure rate and complications is on the short term in favor of TOT but on the long term similar for TOT and retropubic TVT. SN - 1097-6868 UR - https://www.unboundmedicine.com/medline/citation/19846055/Outcome_and_complications_of_retropubic_and_transobturator_midurethral_slings_translated_into_surgical_therapeutic_indices_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9378(09)00828-X DB - PRIME DP - Unbound Medicine ER -