Tratamiento de la incontinencia urinaria de esfuerzo femenina con minicintas MiniArc: resultados a 4 años

Jiménez-Calvo, J.; Montesino-Semper, M.; Hualde-Alfaro, A.; Torres-Varas, L.; Sotil-Arrieta, A.; Raigoso-Ortega, O.

doi:10.1016/j.acuro.2014.03.006

Cited by 5 publications

(4 citation statements)

References 18 publications

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“…A few studies have reported results of MiniArc for SUI as major ambulatory surgery under local anesthesia,[45111217] but as far as we are aware, no previous studies using the MiniArc Precise mini-sling as a minor ambulatory surgery under local anesthesia have been published in the literature. Previous studies have reported the routine use of midazolam instead of diazepam, the presence of an anesthesiologist in the operating room during the procedure, and the fact that patients remain in a specialized recovery room for some hours after the procedure, a situation that does occur in minor ambulatory surgery.…”

Section: Discussionmentioning

confidence: 99%

“…However, when patients with much clinical improvement (ICIQ-SF ≤2) were added, the overall success rate was 90% at 6 months, 84.6% at 12 months, and 87.2% at 24 months, which are similar to data reported for other suburethral slings. [4112829] The number of patients with unchanged ICIQ-SF score at follow-up was 4 at 6 months, 6 at 12 months, and 5 at 24 months. Worsening of urgency for reasons unrelated to the study in patients with MUI may account for these differences.…”

Section: Discussionmentioning

confidence: 99%

“…[789] Mini-slings appeared to be associated with inferior objective cure rates on the short term, as well as higher reoperation rates when compared with standard mid-urethral slings. [10] Fixation of the tape to the internus obturator muscle, which is a weaker structure than anchorage of the classic TOT technique,[1112] may account for the differences.…”

Section: Introductionmentioning

confidence: 99%

“…The MiniArc Precise design allows theoretically obtaining similar results in the short, mid, and long term than TOT. [111314] In case of confirming the use of the MiniArc in an ambulatory setup without affecting continence outcomes, this new technique would be associated with a greater safety for patients during the surgical procedure, less adverse events, and reduction of costs of treatment related to daycare surgery.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Ambulatory MiniArc precise sling under local anesthesia for stress urinary incontinence: Feasibility and outcome

Campos-Delgado

Quetglas-Muñoz

Barahona

et al. 2019

Gynecol Minim Invasive Ther

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Aims:The aim of the study is to assess the feasibility of ambulatory stress urinary incontinence (SUI) surgery using the MiniArc Precise single-incision urethral sling without increasing the number of complications.Settings and Design:This was a retrospective observational study of prospectively collected data carried out in a Tertiary Referral Hospital in Barcelona, Spain.Materials and Methods:Forty patients diagnosed with SUI or stress predominant mixed urinary incontinence (MUI) treated surgically between November 2011 and November 2013. The MiniArc Precise® sling was inserted under local anesthesia in the ambulatory setting.Statistical Analysis Used:Descriptive statistics included frequencies and percentages for categorical variables and mean and range for quantitative variables. The statistical package used was SPSS version 17.0.Results:Urodynamic studies showed SUI in 78% of cases and stress predominant MUI in 17%. Clinical findings included SUI in 56% of cases and MUI in 44%, with positive stress tests in all participants. The mean intraoperative pain (1–10 Visual Analog Scale) was 2. All patients were satisfied with the use of local anesthesia in the outpatient setting. Perioperative complications did not occur. One case of urinary retention and two cases of urinary tract infection (UTI) developed within this 1st month after operation and were successfully managed conservatively. Midterm complications included eight cases of UTI and four de novo urge incontinence.Conclusions:Placement of the MiniArc Precise sling under local anesthesia is a feasible and safe technique, which when carried out by an experienced surgeon allows to be done as an outpatient basis without increasing the rate of postprocedural complications.

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