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April 21, 20260 citations

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

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BEBurak ElmaağaçKayseri Eğitim ve Araştırma HastanesiEBEzgi BaşaranKayseri Eğitim ve Araştırma HastanesiAOAli Yasin OzercanKayseri Eğitim ve Araştırma Hastanesi

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.

Abstract

Both techniques effectively restore continence, but the laparoscopic MERT-Burch provides earlier and more comfortable sexual recovery, establishing "first comfortable coitus" as a practical indicator of postoperative sexual healing.

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Cite This Study

Elmaağaç et al. (2026) studied this question.

synapsesocial.com/papers/69e71467cb99343efc98db98https://doi.org/10.1093/jsxmed/qdag106
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