A prospective randomized trial comparing a modified needle suspension procedure with the vagindobturator shelf procedure for genuine stress incontinence

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Abstract
Objective To compare two procedures for the treatment of genuine stress incontinence in patients selected randomly.Patients and methods Fifty patients with proven genuine stress incontinence were randomized prospectively over a 3 year period to be treated either by a modified needle suspension (MNS) (n=26) or by a vagina/obturator shelf (VOS) (n= 24) procedure.Results In patients who had not undergone previous surgery for incontinence, the VOS procedure was superior with 12 of 14 patients achieving continence compared with eight of 15 patients in the MNS group (PConclusion As a primary procedure VOS was more successful than MNS. In patients who had undergone previous surgery for incontinence neither procedure gave acceptable results.