Effektivitätsanalyse verschiedener Operations- verfahren zur Behandlung der Stressinkontinenz im Zeitraum von 1996 bis 2004 : Vergleich von Kolposuspension, Tension Free Vaginal Tape (TVT) Suprapubic Arc Sling (Sparc), Transobturator Subfascial Hammock (Monarc) / Effectiveness analysis of different stress urinary incontinence operative procedures in the period from 1996 to 2004

Purpose: This study compares different urinary incontinence surgeries like colposuspension, TVT, Spare and Monarc with each other on the basis of different parameters. The results serve as a decision factor for the choice of the most compatible procedure. Material and Methods: In retrospect, all urinary incontinence surgeries carried out in the examined hospital (1120 operations) between 1996 and 2004 were recorded statistically and compared with each other on the basis of operation duration, complication rate and days in hospital. The following statistic tests were used: arithmetic mean, standard deviation, median, t-test, X2 and the ANOVA test. Results: The more up to date the assigned technology, the shorter the recorded operation duration. The colposuspension needs longest with 45.08 min (±18.18, n= 37) in comparison with Monarc 14.58 min (±6.19, n= 113), which was faster. Complications like bladder perforations, bleedings, infections and post surgery urinary retentions were reported. Results show that the stay in hospital depends on the operation procedures, which differ significantly (p < 0.5) from each other (with the exception of TVT and Spare). Colposuspension required 8.86 days (±2.86, n=37), Monarc 3.65 days (±1.55, n=113). Conclusion: With respect to all observed parameters, Monarc surgery appears to be the most effective and also most economical technology in the treatment of stress urinary incontinence.