Objective: Comparison of different surgical procedures for urinary stress incontinence (USI).
Methods: 95 patients with and/or accompanying USI were treated operatively in a prospectively randomized manner.
Results: The cure rate of colposuspension group 3 months after operation was 93% and was higher than 69% after Kelly operation (P < 0.05). But the cure rate 12 months after operation decreased to 74% and 58% respectively (P > 0.05). The percentage of abnormal sexual life was lower in the colposuspension group (4%) than that of those having Kelly operation (7%). The average days and times of intubation in the colposuspension group were more than in Kelly operation group (P < 0.05).
Conclusion: The cure rate of colposuspension 3 months was better than that of the Kelly operation. The cure rate at 1 year was similar in the two procedures. Transient urinary retention occurred more after in the colposuspension group.