Safyre. Un nuevo concepto de cabestrillo ajustable mínimamente invasivo para la incontinencia urinaria por estrés femenina

Palma, Paulo; Riccetto, Cássio; Dambros, Míriam; Thiel, Marcelo; Fraga, R.; Tamanini, José Tadeu Nunes; Herrmann, Viviane; Netto, Nelson Rodrígues; Grossi, O.; Zangone, M.; Paladini, Mauro; Retto, Hélio; Colaço, João; Castro-Díaz, David

doi:10.1016/s0210-4806(04)73176-9

Cited by 8 publications

(5 citation statements)

References 12 publications

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“…Patients from the control group with a preoperatory urodynamic diagnosis of SUI were concomitantly treated with retropubic synthetic sling (12). All patients were treated by the same surgical team, and all members had surgical experience with urogynecological procedures.…”

Section: Treatment Of Sui For the Control Groupmentioning

confidence: 99%

Treatment of anterior vaginal wall prolapse with and without polypropylene mesh: a prospective, randomized and controlled trial - Part II

Tamanini

Castro³

et al. 2013

Int. braz j urol.

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Objective: To compare the effects of two surgical procedures for the correction of anterior vaginal wall prolapse (AVWP) on the lower urinary tract symptoms (LUTS) using symptom questionnaires and quality of life (QoL). Materials and Methods: One hundred women with Pelvic Organ Prolapse Quantification stage (POP-Q) ≥ 2 were randomly distributed in two preoperatory groups. The first group (mesh) (n = 45) received a polypropylene mesh (PM) implant and the control group (n = 55) was submitted to anterior colporraphy with or without synthetic sling. Postoperatory follow-up was done after 12 months. The primary objective was to compare the effect of the surgeries on LUTS using the final scores of the International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form (ICIQ-UI SF) and Overactive Bladder Questionnaire (OAB-V8), as well as the analysis of the incapacitating urinary symptoms and "de novo" urinary symptoms after 12 months of surgery in both groups. Results: Although there was a different number of women in each group, randomization was adequate, resulted in homogeneous groups that could be compared regarding socio demographic, clinical and gynecological (POP-Q) variables. Patients of both groups showed improvements regarding LUTS and QoL, whether using polypropylene mesh or not, based on the final scores of the ICIQ-UI SF and OAB-V8 questionnaires after 12-month follow--up. There were few incapacitating and "de novo" urinary symptoms, without any significant statistical difference between both groups after 12 months of surgery. Conclusion: There was a general improvement of LUTS and QoL in both groups after 12-month follow-up. However, there was no significant difference of LUTS, as well as the more incapacitating and "de novo" urinary symptoms between both groups after 12 months of surgery. INTRODuCTIONThe decision to perform a prophylactic anti-incontinence surgery in women with suspicion of a hidden stress urinary incontinence (SUI) during a surgery for correction of pelvic organ prolapse (POP) is controversial. At present, this approach has been recommended during evaluation of

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Section: Treatment Of Sui For the Control Groupmentioning

confidence: 99%

Treatment of anterior vaginal wall prolapse with and without polypropylene mesh: a prospective, randomized and controlled trial - Part II

Tamanini

Castro³

et al. 2013

Int. braz j urol.

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“…It also necessitates surgical incision of the anterior vaginal wall if control of the appropriate tension is desired. The authors report a 92% success rate with this procedure [27].…”

Section: Discussionmentioning

confidence: 90%

Transvaginal adjustable tape: an adjustable mesh for surgical treatment of female stress urinary incontinence

et al. 2008

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After transvaginal adjustable tape, approximately 15% of patients still suffer incontinence, and voiding dysfunction is present in a relatively important number of patients. Transvaginal adjustable tape (TVA) permits postoperative readjustment of tension, suggesting that better results could be obtained. Sixty-four incontinent women received TVA. Patients were monitored 1, 6, and 12 months post-surgery and annually thereafter by medical history, cough stress test, flowmetry and post-void residual test (PVR), incontinence quality of life, International Consultation on Incontinence Questionnaire-Short Form, and Patient Global Impressions of Improvement (PGI-I) questionnaires. After adjustment, all patients rendered continent, and none had PVR. On no occasion was vesical catheterization or uretholysis necessary. Mean follow-up was 40+/-12.9 months. Objective and subjective cure rate were 94% and 56%, respectively. Qmax was 22.3+/-9.9 ml/s. The PGI-I questionnaire showed 94% of patients to be better or very much better than before. Our data suggest that with TVA tape, better results can be obtained, furthermore, without increasing surgical complications.

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“…Por otra parte, la realización protocolar de la urodinamia en el control postquirurgico no está aceptada globalmente, sino reservada para casos particulares. (9) En este trabajo, siguiendo con la recomendación de mantener un alto índice de sospecha, fueron consideradas obstruidas todas las pacientes con sintomatología urinaria persistente en el tiempo sin otra causa demostrable y/o con uroflujometrías con trazado patológico; a ello se atribuye la alta tasa de obstrucción postquirúrgica de la muestra en estudio.…”

Section: Discussionunclassified

TOT sling adjustment: is it worth it?

et al. 2021

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Introducción: Desde su introducción, el sling TOT se instaló rápidamente como una opción segura y efectiva para el tratamiento de la incontinencia de orina de esfuerzo (IOE) femenina. Con el desarrollo del sling TOT reajustable, se adquirió la posibilidad de reacomodarlo si los resultados funcionales no hubieran sido óptimos (persistencia de IOE). Objetivos: Analizar los resultados globales de nuestra serie de casos en términos de éxito funcional y complicaciones postquirúrgicas; y analizar la relación entre el reajuste de sling y el desarrollo de obstrucción miccional postquirúrgica, erosión de prótesis, dolor pelviano e insatisfacción con astas de prótesis. Materiales y Métodos: Se realizó un análisis retrospectivo comparativo entre 2006 y 2016 de pacientes sometidas a colocación de sling TOT reajustable y se analizaron como subgrupo aquellas donde se hubiese realizado un reajuste de sling como segundo procedimiento. El análisis incluyó: presencia de reajuste de sling, erosión de malla, complicaciones relacionadas con astas de prótesis, desarrollo de obstrucción miccional postquirgica, y éxito funcional de la cirugía. Resultados: Fueron seleccionadas 70 pacientes a quienes se les colocó un sling TOT reajustable (curación de IOE 84.3%; obstrucción postquirúrgica 22.8%), a 11 (15.7%) de las cuales se les realizó reajuste de prótesis por resultados funcionales adversos en las cuales la tasa de curación de IOE ascendió a 92.8% y la tasa de obstrucción post reajuste al 28.5%. Se encontró una asociación significativa entre el reajuste y el desarrollo de dolor pelviano (36% vs 10%, p=0.02) y no existieron diferencias significativas entre los grupos en el desarrollo de obstrucción miccional postquirúrgica (p=0.23), erosión a vagina (p=0.78), erosión a vejiga (p=0.39) e insatisfacción con las astas de la prótesis (p=0.9). Conclusión: La posibilidad de elevar el éxito funcional de una primera cirugía en pocos minutos, con anestesia local, y sin diferencias significativas en la mayoría de las complicaciones analizadas, permiten colocar este procedimiento como un complemento útil para el tratamiento de la incontinencia de orina de esfuerzo, lo que no es posible con los slings convencionales.

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Safyre. Un nuevo concepto de cabestrillo ajustable mínimamente invasivo para la incontinencia urinaria por estrés femenina

Abstract: SAFYRE is a safe and quick procedure that allows for postoperative readjustment. This technique may be an attractive alternative if the good result obtained so far proves to be long lasting.

Cited by 8 publications

References 12 publications

Treatment of anterior vaginal wall prolapse with and without polypropylene mesh: a prospective, randomized and controlled trial - Part II

Treatment of anterior vaginal wall prolapse with and without polypropylene mesh: a prospective, randomized and controlled trial - Part II

Transvaginal adjustable tape: an adjustable mesh for surgical treatment of female stress urinary incontinence

TOT sling adjustment: is it worth it?

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