The Efficacy of IRIS Procedure in Stress Urinary Incontinence: Comparison with TVT and SPARC

Kim, Ji Yoon; Jung, Hee Chang

Abstract

PURPOSE: To compare IRIS procedure with TVT and SPARC in the treatment of female stress urinary incontinence(SUI).
MATERIALS AND METHODS
Among 96 patients with SUI who underwent sling procedure, we retrospectively compared IRIS procedure(n=34) to TVT(n=32) and SPARC(n=30). All patients were evaluated preoperatively with a detailed history, pelvic examination, voiding cystourethrography, urodynamic study and incontinence staging with SEAPI classification. Parameters of comparison included presence of stress incontinence, length of hospital stay, duration of catheterization, operation time, complication, success rate and satisfaction rate.
RESULTS
The success rates were 97%, 96.9% and 96.7% in the IRIS, TVT and SPARC group, respectively. The satisfaction rates were 94.1%, 96.9% and 96.6% in the IRIS, TVT and SPARC group. The complication rates were 23.5%, 21.8% and 23.3% in the IRIS, TVT and SPARC group. There was no statistically significant difference among the 3 groups in terms of success rates, satisfaction rates, complication rates, and postoperative subjective SEAPI scores.
CONCLUSION
IRIS procedure was equally effective compared to conventional mid urethral sling procedure such as TVT and SPARC in the management of female SUI with high cure rates and acceptably low complication rates.