Does the design of mini slings anchoring systems really matter? A biomechanical comparison between Mini Arc™ and Ophira™

Souza, Rafael de Abreu e; Palma, Paulo; Dias, Fernando Goulart Fernandes; Siniscalchi, Rodrigo Teixeira; Riccetto, Cássio

doi:10.1016/j.acuroe.2016.08.004

Cited by 1 publication

(1 citation statement)

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“…The next sling generations were developed by attempting to keep the same success while performing less invasive procedures with fewer complications. [2] Mini slings have a shorter length, are inserted by a single incision, and fixed by a self-anchoring mechanism, and thus they are supposed to have a lower risk of complications such as viscera injury and bladder obstruction. [3,4] However, there is limited evidence about the voiding pattern after mini sling implantation.…”

Section: Introductionmentioning

confidence: 99%

Preliminary report of post-Ophira mini sling implantation voiding pattern: What to learn from pressure-flow studies?

et al. 2021

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Background: The study is amined to correlate the voiding pattern after successful mini sling Ophira implantation with postoperative symptoms and satisfaction, in addition to identifying obstructions. Materials and methods: From 2012 to 2015 in a single institution, all consecutive patients who had stress urinary incontinence treated by using the mini sling Ophira had a pre- and 12 months postoperative urodynamic test. The International Consultation on Incontinence Questionnaire – Urinary Incontinence – Short Form (ICIQ-UI-SF) and the International Consultation on Incontinence Questionnaire – Overactive Bladder (ICIQ-OAB) translated into Portuguese, were given. Patients were objectively considered cured when presenting no urinary incontinence at the Valsalva test and subjectively cured when the ICIQ-UI-SF was zero. Results: Questionnaire scores were obtained from 29 patients and urodynamic data from 20 patients. Mini sling Ophira implantation resulted in a significant improvement of urinary symptoms evidenced by a significant mean reduction in ICIQ-UI-SF from 16 to 5 ( p < 0.0001) and ICIQ-OAB from 8 to 4 ( p = 0.0001). The subjective and objective cure rates were 55% and 45%, respectively. The urodynamic changes were not related to success even when adjusted for age, hormonal status, or anterior pelvic organ prolapse. The mean maximum flow decreased to 4.9 mL/s (95% CI: 0.62–10.8; p = 0.035), and the mean detrusor pressure at maximum flow increased to 11.4 cmH 2 O (95% CI: 4–18; p = 0.0078). Conclusions: Mini sling Ophira implantation decreased maximum urinary flow and increased the detrusor pressure at the maximum urinary flow and these urodynamic changes were not related to success.

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Section: Introductionmentioning

confidence: 99%