Endopelvic free anchor minisling technique for stress urinary incontinence treatment: 10 years of experience

Gambini-Ricapa, Juan; García-Oms, Javier; Barea, M. Valverde; Estrada, Angeles; Iturri, Alejandra; Gambini-Buchon, Juan; Gilabert‐Estellés, Juan

doi:10.1007/s00192-016-2958-z

Cited by 5 publications

(7 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although SIS procedure could be performed with concomitant pelvic reconstructive surgery, data is scarce. Most of the studies that reported SIS results in patients with SUI, excluded the patients with genital prolapse (13,15,29). Fernandez-Gonzalez et al included patients with genital prolapse to their study which compared SIS (Contasure needless®) with TOT (Monarch®) in treatment of SUI and found Contasure needless® was not inferior to Monarch® (12).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Long term outcomes of Burch colposuspension and transobturator tape and single incision needleless (DynaMesh®- SIS minor) for the surgical treatment of female stress urinary incontinence patients who underwent combined pelvic reconstructive surgery or hysterectomy

Akdemir

Dincer

Buyukuysal

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Women with SUI often require combined pelvic reconstructive surgery because of sharing risk factors of pelvic relaxation. The aim of this study was to evaluate the efficacy of Burch colposuspension, the transobturator tape (TOT), and single incision needleless (DynaMesh®- SIS minor) procedures in patients with SUI who also underwent combined pelvic reconstructive surgery or hysterectomy. Methods We carried out a prospective cohort study that included 142 patients who underwent Burch colposuspension (n:43), TOT(n:40), or SIS(n:39) procedures combined pelvic reconstructive surgery or hysterectomy between January 2010 and July 2018. During clinical follow-up, objective cure, subjective cure, failure and surgical success rates were analyzed. Quality of life and symptom severity were assessed by IIQ-7, UDI-6, OAB-V8, SSI, SSQ-8 and PGI-I. Primary outcome was surgical success which was defined when any of the objective cure, subjective cure or improvement has achieved and secondary outcomes were; intraoperative bladder injury, sling extrusion, de novo urgency, voiding dysfunction, length of hospital stay, and outcomes of patient reported quality of life questionnaires. Results Surgical success rate were higher in Burch group than SIS group and also higher in TOT group than SIS group (88,4% vs 61,5% and 87,5% vs 61,5% respectively, p=0,003) Urinary incontinence complaints were higher and quality of life were lower in in SIS group when compared with Burch group. No difference was seen in between Burch and TOT groups, and TOT and SIS groups in terms of IIQ-7, UDI-6, OAB-V8, SSI, and SSQ-8 scores. Conclusions Both Burch and TOT were safe and effective procedures in patients with SUI who required additional pelvic surgeries. Although surgical outcome of SIS procedure in SUI patients that had concomitant pelvic surgeries in our study was not promising, the data are not clear and further randomized studies are needed to clarify these observations.

show abstract

Section: Resultsmentioning

confidence: 99%

“…To minimize these risks, single incision slings (SIS) that avoids retropubic or obturator space entry, have developed in 2006 (9). Despite potential advantages of SIS, reported cure rate ranges from 48-88% in 2-5 years follow-up (10)(11)(12)(13)(14)(15).…”

Section: Introductionmentioning

confidence: 99%

Long term outcomes of Burch colposuspension and transobturator tape and single incision needleless (DynaMesh®- SIS minor) for the surgical treatment of female stress urinary incontinence patients who underwent combined pelvic reconstructive surgery or hysterectomy

Akdemir

Dincer

Buyukuysal

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Although SIS procedure could be performed with concomitant pelvic reconstructive surgery, data is scarce. Most of the studies that reported results of SIS procedure in patients with SUI excluded the patients with pelvic prolapse (16,18,32). Fernandez-Gonzalez et al included patients with pelvic prolapse in their study, which compared SIS (Contasure needless®) with TOT (Monarch®) in the treatment of SUI.…”

Section: Discussionmentioning

confidence: 99%

“…They reported that the objective cure and failure rates were 83% and 9.8%, respectively (32). Moreover, Gambini-Ricapa et al published high urodynamically proven cure rate after endopelvic free anchor mini-sling procedures at long follow-up and suggested that the success of the mini-sling technique was due to retropubic insertion route of sling to endopelvic fascia and pelvic diaphragm (18).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Long term outcomes of Burch colposuspension and transobturator tape and single incision needleless (DynaMesh ® - SIS minor) for the surgical treatment of female stress urinary incontinence patients who underwent combined pelvic reconstructive surgery or hysterectomy

Akdemir

Dincer

Buyukuysal

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Women with stress urinary incontinence (SUI) often require combined pelvic reconstructive surgeries because of shared risk factors of pelvic organ prolapse The purpose of this study is to evaluate the efficacies of Burch colposuspension, the transobturator tape (TOT), and single-incision needleless (DynaMesh®- SIS minor) procedures in patients with SUI who also underwent combined pelvic reconstructive surgery or hysterectomy. Methods: We performed this prospective cohort study that comprising 142 patients who either underwent Burch colposuspension (n:43), TOT(n:40), or SIS(n:39) procedures along with pelvic reconstructive surgery or hysterectomy between January 2010 and July 2018. During the clinical follow-up, we analyzed the objective and subjective cure rates, improvement rates, along with failure and surgical success rates of SUI surgery. We assessed quality of life and symptom severity by Incontinence Impact Questionnaire (IIQ-7), Urogenital Distress Inventory (UDI-6), Sandvik Severity Index (SSI), Surgical Satisfaction Questionnaire (SSQ-8), Overactive Bladder Questionnaire V8 (OAB-V8), and Patient Global Impression of Improvement (PGI-I) scale scores. The primary outcome was surgical success, which was established when there was an improvement in patients or when the patients achieved objective or subjective cure, whereas secondary outcomes included intraoperative bladder injury, sling extrusion, de novo urgency, voiding dysfunction, length of hospital stay, and patient-reported outcomes in the quality of life questionnaires. Results: Surgical success rates were higher in the Burch group than the SIS group and also higher in the TOT group than in the SIS group (88.4% vs 61.5% and 87.5% vs 61.5% respectively, p=0.003) The complaints of urinary incontinence were higher and quality of life was lower in the SIS group than in the Burch group. In terms of IIQ-7, UDI-6, OAB-V8, SSI, and SSQ-8 scores, no difference was observed between Burch and TOT groups, and TOT and SIS groups.Conclusions: Both Burch and TOT are safe and effective procedures in patients with SUI who require additional pelvic surgeries. Although the surgical outcomes of SIS procedure in patients with SUI who underwent concomitant pelvic surgeries in our study were not promising, further randomized studies are needed to clarify these observations due to unclear data.

show abstract

Single-Incision Slings

Peker

Gürsoy

İlter

et al. 2022

Insights Into Incontinence and the Pelvic Floor

View full text Add to dashboard Cite

Endopelvic free anchor minisling technique for stress urinary incontinence treatment: 10 years of experience

Abstract: EFA is a viable, safe, and effective technique for treating UI due to urethral hypermobility.

Cited by 5 publications

References 32 publications

Long term outcomes of Burch colposuspension and transobturator tape and single incision needleless (DynaMesh®- SIS minor) for the surgical treatment of female stress urinary incontinence patients who underwent combined pelvic reconstructive surgery or hysterectomy

Long term outcomes of Burch colposuspension and transobturator tape and single incision needleless (DynaMesh®- SIS minor) for the surgical treatment of female stress urinary incontinence patients who underwent combined pelvic reconstructive surgery or hysterectomy

Long term outcomes of Burch colposuspension and transobturator tape and single incision needleless (DynaMesh ® - SIS minor) for the surgical treatment of female stress urinary incontinence patients who underwent combined pelvic reconstructive surgery or hysterectomy

Single-Incision Slings

Contact Info

Product

Resources

About