Route matters: comparing vaginal (TOT) and laparoscopic (MERT-Burch) approaches in stress urinary incontinence and postoperative sexual function recovery.

Key Points

• The study aims to compare the effectiveness of vaginal and laparoscopic approaches in treating stress urinary incontinence, focusing on postoperative sexual recovery.
• Compared two surgical techniques: vaginal transobturator tape (TOT) and laparoscopic MERT-Burch technique.
• Assessed patient recovery time to 'first comfortable coitus' as a key indicator.
• Evaluated postoperative sexual function recovery outcomes.
• Both techniques restore continence effectively.
• Laparoscopic MERT-Burch allows for earlier sexual recovery.
• Patients reported more comfortable recovery with laparoscopic approach.