Nuestra experiencia con minicintas MiniArc® en la cirugía de la incontinencia urinaria de esfuerzo

Calvo, J. Jiménez; Alfaro, A. Hualde; Lostal, J.L. Cebrián; Bandrés, Silvia Álvarez; Parra, J.; Semper, M. Montesino; Ortega, Omar; Uruñuela, F. Lozano; Paul, M. Pinós; Garibay, A.S. González de

doi:10.1016/j.acuro.2010.02.021

Cited by 9 publications

(3 citation statements)

References 13 publications

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“…Furthermore, in most studies of single-incision MiniArc, the procedure was performed under general or spinal anesthesia. [13181920] In our experience, the use of diazepam and local anesthesia allowed the patients to be discharged home approximately 20–30 min after the procedure without the need of hospital admission. Besides different factors that favor the ambulatory setting for mini-sling procedures, costs are less from the payer's perspective.…”

Section: Discussionmentioning

confidence: 86%

“…The MiniArc Precise design allows theoretically obtaining similar results in the short, mid, and long term than TOT. [111314] In case of confirming the use of the MiniArc in an ambulatory setup without affecting continence outcomes, this new technique would be associated with a greater safety for patients during the surgical procedure, less adverse events, and reduction of costs of treatment related to daycare surgery.…”

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: 86%

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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show abstract

“…For our comparison with other studies, a literature research was conducted in PubMed® using the terms “SUI” and “MiniArc.” The found studies for the MiniArc showed success rates ranging from 69% to 91% (11, 12, 14–17) and are visualized in Table 7. Our 1-year analysis showed different results with a success rate as low as 44%.…”

Section: Discussionmentioning

confidence: 99%

The MiniArc sling for female stress urinary incontinence: clinical results after 1-year follow-up

Hogewoning

Ruhe²,

Bekker

et al. 2011

Int Urogynecol J

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Introduction and hypothesisThe objective of this study was the assessment of the efficiency of the MiniArc for curing stress urinary incontinence.MethodsSeventy-seven patients, operated on from March 2008 to November 2009, were evaluated in this study. One-year post-operative data are presented. All patients suffered from predominant stress urinary incontinence. After 1 year, response was 74%. Evaluation was performed using a questionnaire consisting of the EuroQol-5 Dimensions, the Patient Global Impression of Improvement, the Incontinence Impact Questionnaire, the Urinary Distress Inventory, the Prolapse/Urinary Incontinence Sexual Questionnaire, short form, and the Defecation Distress Inventory.ResultsOne year after surgery, 68% of the patients stated an improvement in their incontinence status, while only 44% stated to be completely dry.ConclusionThe 1-year follow-up suggests that the MiniArc is less effective in the treatment of stress urinary incontinence than the TVT.

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De MiniArc sling voor stress urineincontinentie bij vrouwen; klinische resultaten na 1 jaar follow-up

Hogewoning

Ruhe

Bekker

et al. 2013

Tijdschrift voor Urologie

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Nuestra experiencia con minicintas MiniArc® en la cirugía de la incontinencia urinaria de esfuerzo

Cited by 9 publications

References 13 publications

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

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

The MiniArc sling for female stress urinary incontinence: clinical results after 1-year follow-up

De MiniArc sling voor stress urineincontinentie bij vrouwen; klinische resultaten na 1 jaar follow-up

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