The Miniarc® sling system in the treatment of female stress urinary incontinence
AIMS: To assess the technical feasibility of a new mini-invasive sling procedure (MiniArc®) and present short-term results in the treatment of female urinary incontinence. MATERIAL AND METHODS: A total of 97 women with mixed or stress urinary incontinence (SUI) were treated by placement of the new s...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Urologia
2009-06-01
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| Series: | International Brazilian Journal of Urology |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382009000300010 |
| _version_ | 1828518243575267328 |
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| author | Annett Gauruder-Burmester Gralf Popken |
| author_facet | Annett Gauruder-Burmester Gralf Popken |
| author_sort | Annett Gauruder-Burmester |
| collection | DOAJ |
| description | AIMS: To assess the technical feasibility of a new mini-invasive sling procedure (MiniArc®) and present short-term results in the treatment of female urinary incontinence. MATERIAL AND METHODS: A total of 97 women with mixed or stress urinary incontinence (SUI) were treated by placement of the new single-incision sling. Pelvic organ prolapse was graded using the POP-Q system (pelvic organ prolapse quantification system). Preoperative workup included urodynamic evaluation, cough stress test and introital ultrasound. Postoperatively, introital ultrasound was performed to determine residual urine and check tape position. Quality of life was measured using King's Health Questionnaire. A voiding diary and pad count served to verify the patients' subjective complaints. RESULTS: The MiniArc® single-incision sling procedure was the initial intervention in 37 (38.2%) patients and the second intervention in 60 (61.7%) patients with recurrent incontinence. The cough stress test was negative in 79 (83.1%) women 6 weeks after the sling procedure and in 74 (77.8%) at 12 months. De novo urge occurred in 32 (36.8%) women. Quality of life was significantly improved at 12-month follow-up in 65 (69.1%) patients (p < 0.001). The number of pads decreased significantly from 2.2 to 0.6 (p < 0.001) after the procedure. One patient developed an hematoma and bladder perforation occurred in another. CONCLUSIONS: Our short-term clinical results suggest that the MiniArc® is a safe and effective minimally invasive sling procedure for treating female SUI. Randomized comparative controlled trials and long-term results are still required to define the role of the new sling system in comparison to established mid-urethral tape techniques for treating incontinence. |
| first_indexed | 2024-12-11T18:53:32Z |
| format | Article |
| id | doaj.art-b8ac17d626fd4a09b0d4fc9beb3fe2ca |
| institution | Directory Open Access Journal |
| issn | 1677-5538 1677-6119 |
| language | English |
| last_indexed | 2024-12-11T18:53:32Z |
| publishDate | 2009-06-01 |
| publisher | Sociedade Brasileira de Urologia |
| record_format | Article |
| series | International Brazilian Journal of Urology |
| spelling | doaj.art-b8ac17d626fd4a09b0d4fc9beb3fe2ca2022-12-22T00:54:14ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-55381677-61192009-06-0135333434310.1590/S1677-55382009000300010The Miniarc® sling system in the treatment of female stress urinary incontinenceAnnett Gauruder-BurmesterGralf PopkenAIMS: To assess the technical feasibility of a new mini-invasive sling procedure (MiniArc®) and present short-term results in the treatment of female urinary incontinence. MATERIAL AND METHODS: A total of 97 women with mixed or stress urinary incontinence (SUI) were treated by placement of the new single-incision sling. Pelvic organ prolapse was graded using the POP-Q system (pelvic organ prolapse quantification system). Preoperative workup included urodynamic evaluation, cough stress test and introital ultrasound. Postoperatively, introital ultrasound was performed to determine residual urine and check tape position. Quality of life was measured using King's Health Questionnaire. A voiding diary and pad count served to verify the patients' subjective complaints. RESULTS: The MiniArc® single-incision sling procedure was the initial intervention in 37 (38.2%) patients and the second intervention in 60 (61.7%) patients with recurrent incontinence. The cough stress test was negative in 79 (83.1%) women 6 weeks after the sling procedure and in 74 (77.8%) at 12 months. De novo urge occurred in 32 (36.8%) women. Quality of life was significantly improved at 12-month follow-up in 65 (69.1%) patients (p < 0.001). The number of pads decreased significantly from 2.2 to 0.6 (p < 0.001) after the procedure. One patient developed an hematoma and bladder perforation occurred in another. CONCLUSIONS: Our short-term clinical results suggest that the MiniArc® is a safe and effective minimally invasive sling procedure for treating female SUI. Randomized comparative controlled trials and long-term results are still required to define the role of the new sling system in comparison to established mid-urethral tape techniques for treating incontinence.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382009000300010stress incontinence, urinarysuburethral slingminimally invasive proceduresquality of life |
| spellingShingle | Annett Gauruder-Burmester Gralf Popken The Miniarc® sling system in the treatment of female stress urinary incontinence International Brazilian Journal of Urology stress incontinence, urinary suburethral sling minimally invasive procedures quality of life |
| title | The Miniarc® sling system in the treatment of female stress urinary incontinence |
| title_full | The Miniarc® sling system in the treatment of female stress urinary incontinence |
| title_fullStr | The Miniarc® sling system in the treatment of female stress urinary incontinence |
| title_full_unstemmed | The Miniarc® sling system in the treatment of female stress urinary incontinence |
| title_short | The Miniarc® sling system in the treatment of female stress urinary incontinence |
| title_sort | miniarc r sling system in the treatment of female stress urinary incontinence |
| topic | stress incontinence, urinary suburethral sling minimally invasive procedures quality of life |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382009000300010 |
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