[Stress urinary incontinence. Comparative study of suprapubic and vaginal surgical techniques]

We compared the results achieved by the suprapubic techniques of bladder neck suspension (Marshall-Marchetti-Krantz and Burch) and the vaginal techniques (Raz I and II) in 31 patients. Although no significant difference was observed in the results achieved, the vaginal techniques require a shorter operating time and hospitalization. There were 5 cases of inability to void (3 for the suprapubic and 2 for the vaginal techniques). The following complications were observed in the Burch colposuspension technique: 1 bladder fistula, 1 ureteral obstruction, 1 incisional hernia and 1 pulmonary embolism. We can conclude that although both techniques achieve good results, the vaginal techniques are easy to perform and require a shorter operating time and hospitalization.