Complicaciones de la cirugía de incontinencia urinaria femenina con minicintas

Álvarez-Bandrés, S.; Hualde-Alfaro, A.; Jiménez-Calvo, J.; Cebrián-Lostal, J.L.; Jiménez-Parra, J.D.; García-García, Diego; Montesino-Semper, M.

doi:10.1016/j.acuro.2010.04.007

Cited by 10 publications

(3 citation statements)

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“…A few studies have reported results of MiniArc for SUI as major ambulatory surgery under local anesthesia,[45111217] but as far as we are aware, no previous studies using the MiniArc Precise mini-sling as a minor ambulatory surgery under local anesthesia have been published in the literature. Previous studies have reported the routine use of midazolam instead of diazepam, the presence of an anesthesiologist in the operating room during the procedure, and the fact that patients remain in a specialized recovery room for some hours after the procedure, a situation that does occur in minor ambulatory surgery.…”

Section: Discussionmentioning

confidence: 99%

“…[789] Mini-slings appeared to be associated with inferior objective cure rates on the short term, as well as higher reoperation rates when compared with standard mid-urethral slings. [10] Fixation of the tape to the internus obturator muscle, which is a weaker structure than anchorage of the classic TOT technique,[1112] may account for the differences.…”

Section: Introductionmentioning

confidence: 99%

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Ambulatory MiniArc precise sling under local anesthesia for stress urinary incontinence: Feasibility and outcome

Campos-Delgado

Quetglas-Muñoz

Barahona

et al. 2019

Gynecol Minim Invasive Ther

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Aims:The aim of the study is to assess the feasibility of ambulatory stress urinary incontinence (SUI) surgery using the MiniArc Precise single-incision urethral sling without increasing the number of complications.Settings and Design:This was a retrospective observational study of prospectively collected data carried out in a Tertiary Referral Hospital in Barcelona, Spain.Materials and Methods:Forty patients diagnosed with SUI or stress predominant mixed urinary incontinence (MUI) treated surgically between November 2011 and November 2013. The MiniArc Precise® sling was inserted under local anesthesia in the ambulatory setting.Statistical Analysis Used:Descriptive statistics included frequencies and percentages for categorical variables and mean and range for quantitative variables. The statistical package used was SPSS version 17.0.Results:Urodynamic studies showed SUI in 78% of cases and stress predominant MUI in 17%. Clinical findings included SUI in 56% of cases and MUI in 44%, with positive stress tests in all participants. The mean intraoperative pain (1–10 Visual Analog Scale) was 2. All patients were satisfied with the use of local anesthesia in the outpatient setting. Perioperative complications did not occur. One case of urinary retention and two cases of urinary tract infection (UTI) developed within this 1st month after operation and were successfully managed conservatively. Midterm complications included eight cases of UTI and four de novo urge incontinence.Conclusions:Placement of the MiniArc Precise sling under local anesthesia is a feasible and safe technique, which when carried out by an experienced surgeon allows to be done as an outpatient basis without increasing the rate of postprocedural complications.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ambulatory MiniArc precise sling under local anesthesia for stress urinary incontinence: Feasibility and outcome

Campos-Delgado

Quetglas-Muñoz

Barahona

et al. 2019

Gynecol Minim Invasive Ther

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“…In order to reduce these complications, as an alternative method, transobturator tape (TOT) method has been developed by Delorme [ 2 ]. However, the TOT method is not a risk-free method and such complications like infection, erosion, and myositis have been reported in the literature [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Obturator Nerve Injury: An Infrequent Complication of TOT Procedure

Aydoğmuş

Kelekçi

Aydoğmuş

et al. 2014

Case Reports in Obstetrics and Gynecology

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Transvaginal mid-urethral slings have become the most preferred surgical treatment option for female stress urinary incontinence. However, various complications have been reported for these operations occurring especially during penetration of the retropubic space. It can negatively affect patient's quality of life. Early treatment increases the chance of complete normalization of the functions. In this case report we presented a case of obturator nerve damage that was diagnosed and treated at early stage after TOT operation.

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