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Medium-term clinical efficacy and safety of single incision and modified trans-obturator mid-urethral slings for female stress urinary incontinence

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Gynecology and Obstetrics Clinical Medicine 2022年第2期2卷 57-62页

作者： Jerome Melon Paivi K.Karjalainen Claire McGannon Joseph K.Lee Anna Rosamilia Pelvic Floor Unit Monash Medical CentreMelbourneVICAustralia Central Finland Central Hospital JyvaskylaFinland Department of Obstetrics and Gynaecology Monash Medical CentreMelbourneVICAustralia University of New South Wales KensingtonNSWAustralia Cabrini Hospital Malvern MelbourneVICAustralia

Aims:To evaluate the medium term efficacy and safety of Altis and Solyx single incision slings(SIS)compared with tension-free vaginal tape(TVT)Abbrevo trans-obturator *** hypothesize that both SIS show little difference in efficacy and safety and perform similarly to TVT ***:We conducted an ambispective comparative cohort study of women with stress urinary incontinence who received a SIS in comparison to matched TVT Abbrevo subjects from a concurrent randomized controlled trial(RCT).Subjects were identified retrospectively,and prospectively invited for examination and questionnaires>12 months *** included intrinsic sphincter deficiency,previous sling surgery,and *** outcome was subjective cure[negative response to International Consultation Incontinence Questionnaire-Urinary Incontinence Short Form(ICIQ-UI SF)question 6,leakage during coughing/activity].Secondary outcomes include objective cure(negative cough stress test),functional outcomes,and adverse ***:Between 2012 and 2018,a total of 113 women received one of two SIS surgeries;Solyx(n=50)followed by the Altis(n=63);104 were available for final efficacy *** follow-up was 21.7(Altis),46.0(Solyx),and 29.0(Abbrevo)*** characteristics were comparable between the *** was no significant differences in the subjective or objective cure rates between the groups,and no differences in functional outcomes such as patient global impression of improvement,and post-operative ICIQ-UI SF *** was a low rate of mesh related complications and no differences seen between the ***:Despite being an underpowered study,Altis and Solyx SIS have favourable efficacy and safety profiles which are comparable to an established trans-obturator mid-urethral slings(MUS).

关键词： Efficacy mini-sling Safety Single incision sling Stress urinary incontinence

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Needleless Contasure versus TVT-O in Women with Stress Urinary Incontinence

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Open Journal of Obstetrics and Gynecology 2020年第8期10卷 1107-1121页

作者： Abd El-Moneim Abd El-Aziz Saleh Mahmoud Ahmed Ghareb Diab Alsayed Mohamed Ibrahiem Walid Mohamed Elnagar Mohammed Hassan Elsayed Barakat Obstetrics & Gynecology Department Faculty of Medicine Zagazig University Zagazig Egypt Urology Department Faculty of Medicine Zagazig University Zagazig Egypt

Objectives: The aim of this thesis is to determine the clinical effectiveness, safety and cost-effectiveness of Single Incision needleless mini-slings compared with tension-free Standard Mid-urethral sling in the surg... 详细信息

Objectives: The aim of this thesis is to determine the clinical effectiveness, safety and cost-effectiveness of Single Incision needleless Mini-Slings compared with tension-free Standard Mid-urethral Sling in the surgical management of female stress urinary incontinence, but with less side effects. Methods: The study will be conducted in Zagazig University Hospitals. From 2018 to Sept. 2019, 40 cases were enrolled in the study and were randomized by envelope technique at the time of surgery to either a trans-obturator vaginal tape (TOT) or Needleless anti-incontinence procedure. The patients will be divided into 2 groups: Group 1 patient treated by standard sling (TOT). Group 2 those treated by mini-sling. Parameters in perioperative period such as operating time, intraoperative hemorrhage volume, length of stay in hospital, intraoperative complications, and postoperative pain of each patient were recorded. The sample size was calculated to be 40 cases (20 cases will be treated by standard slings, 20 case will be treated by mini-sling). Results: A total of 40 patients assessed for eligibility were randomized into Needleless groups. There were no significant differences in age, body mass index, process, parity, pad test or the assessment of preoperative quality of life between the two groups. In the perioperative period, statistically significant differences between the two groups were found in operating time, intraoperative hemorrhage volume, groin pain scores at 24 h after operation and length of stay in hospital (P < 0.001). After two weeks of follow-up, a statistically significant difference between the two groups was found in groin pain/femori-bus internus pain scores, but there were no significant differences in cure rates, pad test, complications or ICIQ-SF. After 1 year, there were no significant differences between the Needleless and TOT

关键词： mini-sling Needleless Stress Urinary Incontinence TVT-O TVT Contasure

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