Challenges of Very Long-term Reporting in Stress Urinary Incontinence Surgeries in Women

Kuprasertkul, Amy

doi:10.1016/j.urology.2020.01.028

Cited by 10 publications

(5 citation statements)

References 30 publications

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“…Perioperative bladder injuries were more frequent in the Safyre™ group, besides a higher tendency for indwelling bladder catheterization. Loss of follow-up in the study (37%) may have been seen as an inherent limitation, but similar rates have been previously reported by Kuprasertkul and Zimmern, who demonstrated rates of loss ranging from 10 to 49% over 10 years follow-up (19). A limited number of publications have studied Safyre™ and all of them used a transobturator approach, with bladder perforation rates varying between 0 -4.2% (1,9,10).…”

Section: Discussionsupporting

confidence: 69%

Incontinence outcomes in women undergoing retropubic mid-urethral sling: a retrospective cohort study comparing Safyre™ and handmade sling

et al. 2022

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Purpose: This study examined and compared efficacy, safety, satisfaction, and complications of the retropubic Safyre™ sling and a retropubic hand-made synthetic sling (HMS) in a short-, mid-and long-term follow-up. Methods: We retrospectively reviewed a prospectively maintained database of women who underwent Safyre™ or HMS between March 7 ths 2005 and December 27 ths , 2017. Patients had first assessment (7-10 days), second (40-45 days), and third (sixth month) postoperatively. Between September and December 2018, patients who completed at least one year of surgery, received a telephone call. Follow-up compared quartiles of follow-up time to determine complications (Clavien-Dindo), success rates (International Consultation on Incontinence Modular Questionnaire for Urinary Incontinence Short Form -ICIQ-UI SF), and patient satisfaction. Results: Three hundred fifty-one patients underwent surgery and 221 (63%) were evaluated after a median of 78.47 (± 38.69) months, 125 (55%) in the HMS, and 96 (45%) in the Safyre™ group. Higher intraoperative bladder injury was observed with Safyre™ (0% vs. 4.2%, p=0.034), and a tendency for urinary retention, requiring indwelling urinary catheter over 24 hours (2.4% vs. 8.3%, p=0.061). Both HMS (p<0.001) and Safyre™ (p<0.001) presented improvements on ICIQ-UI SF. There were no differences in satisfaction, subjective cure rates, ICIQ-UI SF, or complications between groups. Conclusions: Both HMS and Safyre™ have similar satisfaction and subjective cure rates, with marked ICIQ-UI SF score improvement. Higher rates of intraoperative bladder injury were seen in patients who received Safyre™ retropubic sling.

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Section: Discussionsupporting

confidence: 69%

Incontinence outcomes in women undergoing retropubic mid-urethral sling: a retrospective cohort study comparing Safyre™ and handmade sling

et al. 2022

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“…Thus, to maximize reliability of the study, questions from the validated questionnaires were used, which mainly focused on discrimination between stress and urge episodes. It is believed that this significantly improved the quality of data [38].…”

Section: Discussionmentioning

confidence: 99%

Outcome of transobturator sling for treatment of female stress urinary incontinence applied as a single procedure or concomitantly with pelvic organ prolapse surgery

Banaś¹,

Jankiewicz²,

Rechberger³

et al. 2023

Ann Agric Environ Med.

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Introduction and Objective.The aim of the study was to check the safety and efficacy of transobturator tape (TOT) combined with various prolapse procedures. The results were compared with outcomes of sling performed as an alone surgery. Risk factors for TOT failure were also identified. Materials and method. The study comprised 219 patients with sling alone (Group SUI) and 221 after TOT combined with concomitant prolapse surgery (Group POP/SUI). Medical records were carefully reviewed to obtain demographic and clinical data, details of surgery, including intra-and postoperative complications. Results. Subjective cure rate was slightly, but statistically significantly, higher in POP/SUI group (89.6% vs 82.6%; ch 2 = 4.44; p = 0.035). There was no significant difference in sling efficacy dependant of type of POP surgery. Post-operative urine retention was more frequent in POP/SUI group compared to SUI group (18.6% vs 3.2%; ch 2 = 34.36; p < 0.001). Logistic regression showed that age, BMI and prolonged pos-operative urine retention are independent factors affecting TOT outcome. Age ≥65years and BMI ≥30kg,m 2 more than doubled the risk of failure: OR 2.348, CI 95% (1.330-4.147); p = 0.003 and 2.030, (95% CI 1.148-3.587); p = 0.015; respectively. Interestingly, post-operative urine retention appeared to be a positive prognostic factor OR 0.145, (95% CI 0.019-1.097); p < 0.05. Conclusions. Subjective efficacy of TOT used concomitantly with POP procedures is slightly higher than TOT alone. Better sling outcomes can be expected both for POP procedures involving both the anterior and posterior compartments. Age and obesity are independent factors of TOT failure, whereas prolonged post-operative urine retention is a positive predictive factor of TOT success.

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“…This was evaluated in a recent article that concluded that these conflicting results may be attributed to the cure definition, method of reporting success rate, and preferred questionnaires. 14 Some have very strict criteria such as defining cure and success as no SIU recurrence (self-reported) and no re-operation, whereas others have accepted these criteria as improvement in SUI symptoms. In this study, our modification was using endoclips instead of making knots in laparoscopic Burch.…”

Section: Discussionmentioning

confidence: 99%

Multiple Endoclip Retraction Technique (MERT) in Laparoscopic Burch

Karadağ

Demir

Sönmez

et al. 2022

JSLS

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Background and Objectives: The multiple endoclip retraction technique (MERT) was developed based on our experience with suturing renal parenchyma in laparoscopic partial nephrectomy. In this study we prospectively evaluated the one-year results of cases treated by transperitoneal laparoscopic Burch with the MERT. Methods: The patients were evaluated with stress test, one-hour pad test, and were requested to complete the International Continence Society Incontinence Questionnaire short form (ICIQ-SF) in the postoperative period. The follow-up periods were postoperative 3, 6, and 12 months. Results: The primary outcome of this study was surgical success, defined as being cured of stress urinary incontinence (SUI) (no symptoms), experiencing improved symptoms of SUI in ICIQ-SF and negative stress test, and less than 2g urine leakage in a one-hour pad test. No statistically significant difference was found in terms of age, number of children, and body mass index (BMI) in patients according to the results of the 12 month postoperative stress test. We found statistically significant improvements at all control months in terms of stress test and pad weight. ICIQ-SF results showed a significant decrease at three months in patients who recovered after the operation. This rate has not changed in following control months. However, there was no statistical change in ICIQ-SF values in patients who did not recover after the operation. Conclusion: MERT seems to be one of the safe and effective modifications in the management of SUI with good one year outcomes when performed by suitably trained experienced surgeons.

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Challenges of Very Long-term Reporting in Stress Urinary Incontinence Surgeries in Women

Cited by 10 publications

References 30 publications

Incontinence outcomes in women undergoing retropubic mid-urethral sling: a retrospective cohort study comparing Safyre™ and handmade sling

Incontinence outcomes in women undergoing retropubic mid-urethral sling: a retrospective cohort study comparing Safyre™ and handmade sling

Outcome of transobturator sling for treatment of female stress urinary incontinence applied as a single procedure or concomitantly with pelvic organ prolapse surgery

Multiple Endoclip Retraction Technique (MERT) in Laparoscopic Burch

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