Single incision sling (Ajust™) for the treatment of female stress urinary incontinence: 2-year follow-up

Natale, Franca; Dati, S.; Penna, Chiara La; Rombolà, Pasquale; Cappello, Stefania; Piccione, Emilio

doi:10.1016/j.ejogrb.2014.08.011

Cited by 15 publications

(21 citation statements)

References 25 publications

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“…Nowadays, there are a few SIMS available on the market, all of which are made of polypropylene. Yet, they differ, which may have an influence on biomechanical properties of tapes and on their respective cure rate [19,20,28]. Various success rates have been reported for SIMS during the last decade [26,27].…”

Section: Discussionmentioning

confidence: 99%

“…The Ajust sling is the first SIMS, which just like TOT anchors to the obturator muscle or its membrane complex. During the procedure it is possible to adjust the tension of the tape [19]. Studies suggest that leaving a slight tension at the midurethra can improve the outcome [29].…”

Section: Discussionmentioning

confidence: 99%

“…Ajust implantations were performed according to a standardized technique [19]. Operations were performed under spinal epidural anesthesia.…”

Section: Methodsmentioning

confidence: 99%

“…Ajust™ (C.R. Bard Inc., New Providence, NJ, USA) for instance should be anchored directly on the obturator muscle or membrane and it is possible to regulate the tension of this sling [19]. Ultrasound studies suggested that one year after implantation of SIMS, Ajust™ has the same quality of tape fixation as TVTO [20].…”

Section: Introductionmentioning

confidence: 99%

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Adjustable single incision sling Ajust — the effects of first operations controlled by pelvic floor sonography

Kluz¹,

Wlaźlak²,

Wróbel³

et al. 2017

Ginekol Pol

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Objective: The aim of this study is to evaluate using PFS-TV the mid-term results of our first operative experience with implanting a single incision sling -Ajust™. Material and methods:One and the same surgeon has operated all the patients with symptoms of stress urinary incontinence. Ajust was the only performed procedure. Postoperative evaluation consisted of: a standardized interview and examination, a cough test and a PFS-TV for evaluation of urinary continence and tape location. PFS-TV was performed under standardized conditions at rest and during maximum Valsalva maneuver.Results: This is a retrospective analysis of data from a total of 31 patients who attended a control visit between the 36 th and the 50 th month following the operation. Sixteen patients (51.6%) were cured. There were statistically significant differences in urethral mobility (p < 0.0007) and tape-urethra distance (p < 0.002) between cured and not-cured group. The difference in urethral length was not statistically significant. 77.8% of women with a hypermobile urethra was cured in contrast to 15.4% with a normobile urethra. Neither of the groups had a hypomobile urethra patient. There were no significant complications intra-or post-operatively. De novo urgency was observed in 1 patient only.Conclusions: Implantation of Ajust tape seems to be a safe mode of operative treatment for SUI in women. Our mid-term results suggest that long term effects might be worse compared to retropubic or transobturator tapes, especially at first operative experience with Ajust. Urethral mobility seems to be an important risk factor for treatment failure after Ajust implantation. It seems that patients that may benefit from Ajust most are women with urethral hypomobility but this needs to be verified with a prospective study.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Ajust implantations were performed according to a standardized technique [19]. Operations were performed under spinal epidural anesthesia.…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Adjustable single incision sling Ajust — the effects of first operations controlled by pelvic floor sonography

Kluz¹,

Wlaźlak²,

Wróbel³

et al. 2017

Ginekol Pol

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“…Natale et al evaluated the long-term results of Ajust TM operation [49]. Ninety-two patients completed the 2-year follow-up.…”

Section: Xin Et Al Randomized 368 Women With Sui To Ajustmentioning

confidence: 99%

Adjustable Midurethral Slings in the Treatment of Female Stress Urinary Incontinence

Uğurlucan¹,

Yaşa²

2017

Synopsis in the Management of Urinary Incontinence

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Midurethral slings have become the gold standard in the surgical treatment of stress urinary incontinence (SUI). However, despite the high cure rates with these procedures, nearly 20% of the patients are incontinent after surgery. On the other hand, in a small percentage of women, voiding dysfunction may develop after surgery. Adjustable slings have been advocated in patients who fail an anti-incontinence surgery or have intrinsic sphincter deiciency (ISD) or in order to prevent postoperative voiding dysfunction.There are various options of adjustable slings according to the surgical route or the type of mesh used.

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Single‐incision Slings

Kennelly¹,

Bastawros

2018

Smith's Textbook of Endourology

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Single incision sling (Ajust™) for the treatment of female stress urinary incontinence: 2-year follow-up

Cited by 15 publications

References 25 publications

Adjustable single incision sling Ajust — the effects of first operations controlled by pelvic floor sonography

Adjustable single incision sling Ajust — the effects of first operations controlled by pelvic floor sonography

Adjustable Midurethral Slings in the Treatment of Female Stress Urinary Incontinence

Single‐incision Slings

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