Transvaginal Retropubic Versus Transobturator Midurethral Sling in the Treatment of Recurrent Stress Urinary Incontinence

In the present study, retropubic midurethral sling was the most performed procedure in the treatment of SUI recurrence after previous incontinence surgery. Efficacy rates in SUI treatment were high in both groups, with no statistically significant differences between the two surgical techniques. Although it was expected that TVT-R would result in a higher rate of complications given its greater surgical complexity, there were no differences between both groups in terms of intra and postoperative complications. Therefore, we should select the surgical option that provides the best conditions for the treatment of recurrent/persistent SUI, avoiding major complications and in accordance with the clinical assessment and the patient's preference.