{"title":"单切口尿道中带手术（I-Stop-Mini）治疗1年尿动力性压力性尿失禁的超声检查和临床结果","authors":"Tsia-Shu Lo, Maherah Kamarudin, Lan-Sin Jhang, Huan-Ka Chiung, Wu-Chiao Hsieh, Louiza Erika Rellora","doi":"10.1111/luts.70016","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>To evaluate I-Stop-Mini surgery outcomes in urodynamic stress incontinence (USI) patients and its sonographic features at 1 year.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>One hundred one patients with confirmed USI who underwent I-Stop-Mini surgery from March 2019 to February 2023 were recruited. Inclusion criteria include confirmed USI. Pelvic organ prolapse ≥ stage 2, detrusor overactivity, neurogenic bladder, high residual urine, or concomitant prolapse surgery were excluded. Primary outcomes were objective and subjective continence cure. Secondary outcomes were sonography findings of sling mobility (T), bladder neck (BN), sling to urethra percentile, and the presence of dynamic urethral kinking.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Objective cure and subjective cure were 85/92 (92.4%) and 83/92 (90.2%). Significant improvement in UDS diagnosis of USI was seen pre- versus postoperatively 92/92 (100%) versus 7/92 (7.85%) <i>p</i> < 0.001 and change in pad weight from 22.4 ± 29.1 to 1.5 ± 3.8 g, <i>p</i> < 0.001. As for secondary outcome, no change in resting tape position (xt, yt), at 6months and 1 year; (18.2 ± 2.8, 17.3 ± 2.6 mm) versus (18.8 ± 2.2, 17.8 ± 2.8 mm), (<i>p</i> = 0.208, <i>p</i> = 0.237) respectively. During Valsalva (22.4 ± 3.3, 7.0 ± 2.9 mm) versus (22.8 ± 3.7, 7.5 ± 2.4 mm) (<i>p</i> = 0.251, <i>p</i> = 0.135) at 6 months and 1 year. Tape mobility unchanged, 11.3 ± 2.5 versus 11.4 ± 3.0 mm, <i>p</i> = 0.693. Dynamic kinking was maintained at 60% versus 59%, <i>p</i> = 0.877. No major complication was observed.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>I-Stop-Mini SIS has high objective and subjective cure. Dynamic kinking, BN position (at rest and Valsalva) and mobility between 6 months and 1 year were maintained, thus promoting its continence effect.</p>\n </section>\n </div>","PeriodicalId":18028,"journal":{"name":"LUTS: Lower Urinary Tract Symptoms","volume":"17 4","pages":""},"PeriodicalIF":1.5000,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Ultrasonography and Clinical Outcomes Following Single-Incision Mid-Urethral Tape Procedure (I-Stop-Mini) for Urodynamic Stress Incontinence at 1 Year\",\"authors\":\"Tsia-Shu Lo, Maherah Kamarudin, Lan-Sin Jhang, Huan-Ka Chiung, Wu-Chiao Hsieh, Louiza Erika Rellora\",\"doi\":\"10.1111/luts.70016\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>To evaluate I-Stop-Mini surgery outcomes in urodynamic stress incontinence (USI) patients and its sonographic features at 1 year.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>One hundred one patients with confirmed USI who underwent I-Stop-Mini surgery from March 2019 to February 2023 were recruited. Inclusion criteria include confirmed USI. Pelvic organ prolapse ≥ stage 2, detrusor overactivity, neurogenic bladder, high residual urine, or concomitant prolapse surgery were excluded. Primary outcomes were objective and subjective continence cure. Secondary outcomes were sonography findings of sling mobility (T), bladder neck (BN), sling to urethra percentile, and the presence of dynamic urethral kinking.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Objective cure and subjective cure were 85/92 (92.4%) and 83/92 (90.2%). Significant improvement in UDS diagnosis of USI was seen pre- versus postoperatively 92/92 (100%) versus 7/92 (7.85%) <i>p</i> < 0.001 and change in pad weight from 22.4 ± 29.1 to 1.5 ± 3.8 g, <i>p</i> < 0.001. As for secondary outcome, no change in resting tape position (xt, yt), at 6months and 1 year; (18.2 ± 2.8, 17.3 ± 2.6 mm) versus (18.8 ± 2.2, 17.8 ± 2.8 mm), (<i>p</i> = 0.208, <i>p</i> = 0.237) respectively. During Valsalva (22.4 ± 3.3, 7.0 ± 2.9 mm) versus (22.8 ± 3.7, 7.5 ± 2.4 mm) (<i>p</i> = 0.251, <i>p</i> = 0.135) at 6 months and 1 year. Tape mobility unchanged, 11.3 ± 2.5 versus 11.4 ± 3.0 mm, <i>p</i> = 0.693. Dynamic kinking was maintained at 60% versus 59%, <i>p</i> = 0.877. No major complication was observed.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>I-Stop-Mini SIS has high objective and subjective cure. Dynamic kinking, BN position (at rest and Valsalva) and mobility between 6 months and 1 year were maintained, thus promoting its continence effect.</p>\\n </section>\\n </div>\",\"PeriodicalId\":18028,\"journal\":{\"name\":\"LUTS: Lower Urinary Tract Symptoms\",\"volume\":\"17 4\",\"pages\":\"\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-06-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"LUTS: Lower Urinary Tract Symptoms\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/luts.70016\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"UROLOGY & NEPHROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"LUTS: Lower Urinary Tract Symptoms","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/luts.70016","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的评价I-Stop-Mini手术治疗尿动力应激性尿失禁（USI）患者1年的临床效果及超声特征。方法招募2019年3月至2023年2月期间接受I-Stop-Mini手术的确诊USI患者101例。纳入标准包括确认USI。排除盆腔器官脱垂≥2期、逼尿肌过度活动、神经源性膀胱、高残留尿量或同时脱垂手术。主要结果为客观和主观失禁治愈。次要结果是超声检查吊带的活动性(T)，膀胱颈（BN），吊带到尿道的百分位数，以及动态尿道扭结的存在。结果客观治愈率为85/92(92.4%)，主观治愈率为83/92（90.2%）。术前与术后UDS对USI的诊断有显著改善，分别为92/92（100%）和7/92 (7.85%)p < 0.001，尿垫重量从22.4±29.1 g降至1.5±3.8 g, p < 0.001。次要结局：6个月和1年时静息带位置（xt, yt）无变化；(18.2±2.8,17.3±2.6毫米)和(18.8±2.2,17.8±2.8毫米),(p = 0.208, p = 0.237)。在并发(22.4±3.3,7.0±2.9毫米)和(22.8±3.7,7.5±2.4毫米)(p = 0.251, p = 0.135)在6个月和1年。胶带迁移率不变，分别为11.3±2.5 mm和11.4±3.0 mm, p = 0.693。动态扭结维持在60% vs 59%， p = 0.877。无重大并发症。结论I-Stop-Mini SIS具有较高的主客观治愈率。在6个月至1年期间保持动态扭结、BN位（静止和Valsalva）和活动能力，从而促进其控制效果。
Ultrasonography and Clinical Outcomes Following Single-Incision Mid-Urethral Tape Procedure (I-Stop-Mini) for Urodynamic Stress Incontinence at 1 Year
Objective
To evaluate I-Stop-Mini surgery outcomes in urodynamic stress incontinence (USI) patients and its sonographic features at 1 year.
Methods
One hundred one patients with confirmed USI who underwent I-Stop-Mini surgery from March 2019 to February 2023 were recruited. Inclusion criteria include confirmed USI. Pelvic organ prolapse ≥ stage 2, detrusor overactivity, neurogenic bladder, high residual urine, or concomitant prolapse surgery were excluded. Primary outcomes were objective and subjective continence cure. Secondary outcomes were sonography findings of sling mobility (T), bladder neck (BN), sling to urethra percentile, and the presence of dynamic urethral kinking.
Results
Objective cure and subjective cure were 85/92 (92.4%) and 83/92 (90.2%). Significant improvement in UDS diagnosis of USI was seen pre- versus postoperatively 92/92 (100%) versus 7/92 (7.85%) p < 0.001 and change in pad weight from 22.4 ± 29.1 to 1.5 ± 3.8 g, p < 0.001. As for secondary outcome, no change in resting tape position (xt, yt), at 6months and 1 year; (18.2 ± 2.8, 17.3 ± 2.6 mm) versus (18.8 ± 2.2, 17.8 ± 2.8 mm), (p = 0.208, p = 0.237) respectively. During Valsalva (22.4 ± 3.3, 7.0 ± 2.9 mm) versus (22.8 ± 3.7, 7.5 ± 2.4 mm) (p = 0.251, p = 0.135) at 6 months and 1 year. Tape mobility unchanged, 11.3 ± 2.5 versus 11.4 ± 3.0 mm, p = 0.693. Dynamic kinking was maintained at 60% versus 59%, p = 0.877. No major complication was observed.
Conclusion
I-Stop-Mini SIS has high objective and subjective cure. Dynamic kinking, BN position (at rest and Valsalva) and mobility between 6 months and 1 year were maintained, thus promoting its continence effect.
期刊介绍：
LUTS is designed for the timely communication of peer-reviewed studies which provides new clinical and basic science information to physicians and researchers in the field of neurourology, urodynamics and urogynecology. Contributions are reviewed and selected by a group of distinguished referees from around the world, some of whom constitute the journal''s Editorial Board. The journal covers both basic and clinical research on lower urinary tract dysfunctions (LUTD), such as overactive bladder (OAB), detrusor underactivity, benign prostatic hyperplasia (BPH), bladder outlet obstruction (BOO), urinary incontinence, pelvic organ prolapse (POP), painful bladder syndrome (PBS), as well as on other relevant conditions. Case reports are published only if new findings are provided.
LUTS is an official journal of the Japanese Continence Society, the Korean Continence Society, and the Taiwanese Continence Society. Submission of papers from all countries are welcome. LUTS has been accepted into Science Citation Index Expanded (SCIE) with a 2011 Impact Factor.
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