Three-year follow-up in patients with urinary stress incontinence treated with Altis® single-incision sling.

IF 1 Q2 Medicine

Minerva ginecologica Pub Date : 2020-02-01 DOI:10.23736/S0026-4784.20.04496-2

Gloria D'alessandro, Maurizio Leone, Jacopo Antolini, Simone Ferrero, Paolo Sala, Guglielmo Melloni, Giuseppe Fasolis, Claudio Gustavino

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引用次数: 2

Abstract

Background: The purpose of the study is to report three years follow-up of single incision slings for the treatment of stress urinary incontinence (SUI). The main outcomes are to evaluate the efficacy of the device and to assess safety, adverse events, quality of life, demographic features of treated women and prognostic factors for SUI.

Methods: We performed a retrospective, double-center, single-arm study. Data were collected by medical records and a telephone interview 3 years after the implant of the mini-sling. Complication rate, subjective efficacy and degree of satisfaction were investigated.

Results: Fifty-four patients were treated between March 2015 and March 2017, of which 47 answered the survey. Forty-one of 47 procedures (87.2%) were considered effective. Among more relevant complications, there was one case of extrusion of mesh and three cases of new onset of urinary disfunction, of which two cases of urgency urinary incontinence (UUI) and one case of de-novo SUI. Most complications were solved within few days after the procedure. Concerning the subjective impression of improvement, investigated by using the Patient Global Impression of Improvement (PGI-I) questionnaires, 41 patients reported subjective satisfaction, three reported no change in quality of life and three patients had worsening of symptoms.

Conclusions: The procedure was safe and effective for the treatment of SUI but more data are needed to confirm our preliminary results.

查看原文本刊更多论文

Altis®单切口吊带治疗尿压力性失禁患者的三年随访。

背景:本研究的目的是报道单切口吊带术治疗压力性尿失禁(SUI)的三年随访。主要结果是评估该装置的有效性，并评估安全性、不良事件、生活质量、治疗妇女的人口统计学特征和SUI的预后因素。方法:我们进行了一项回顾性、双中心、单臂研究。在植入迷你吊带3年后，通过医疗记录和电话访谈收集数据。观察并发症发生率、主观疗效及满意度。结果:2015年3月至2017年3月共收治54例患者，其中47例患者回答调查。47例手术中41例(87.2%)认为有效。相关并发症中，补片挤压1例，新发尿功能障碍3例，其中急迫性尿失禁(UUI) 2例，新生尿失禁1例。大多数并发症在手术后几天内就解决了。在主观改善印象方面，采用患者总体改善印象问卷调查，41例患者主观满意，3例患者生活质量无变化，3例患者症状加重。结论:该手术治疗SUI是安全有效的，但需要更多的数据来证实我们的初步结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Minerva ginecologica OBSTETRICS & GYNECOLOGY-

CiteScore

3.00

自引率

0.00%

发文量

期刊介绍： The journal Minerva Ginecologica publishes scientific papers on obstetrics and gynecology. Manuscripts may be submitted in the form of editorials, original articles, review articles, case reports, therapeutical notes, special articles and letters to the Editor. Manuscripts are expected to comply with the instructions to authors which conform to the Uniform Requirements for Manuscripts Submitted to Biomedical Editors by the International Committee of Medical Journal Editors (www.icmje.org). Articles not conforming to international standards will not be considered for acceptance.