دورية أكاديمية

Efficacy and Safety of "I-Stop-Mini Adjustable" Sling System versus Transobturator Midurethral "Obtryx" Sling System in Stress Urinary Incontinence: A Retrospective Cohort Study.

التفاصيل البيبلوغرافية
العنوان: Efficacy and Safety of "I-Stop-Mini Adjustable" Sling System versus Transobturator Midurethral "Obtryx" Sling System in Stress Urinary Incontinence: A Retrospective Cohort Study.
المؤلفون: Chao WT; Faculty of Medicine, College of Medicine, Fu-Jen Catholic University (Drs. Chao, G-Y. Chen), Taipei, Taiwan, ROC; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University (Drs. Chao, G-Y Chen, Liu, Chan, Chang, Y-J Chen, Wang, and Horng), Taipei, Taiwan, ROC; Institute of Clinical Medicine (Drs. Chao, Huang, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), National Yang-Ming University, Taipei 112, Taiwan, ROC; Institute of Clinical Medicine, National Yang Ming Chiao Tung University (Drs. Chao, Huang, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), Taipei 112, Taiwan, ROC; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital (Drs. Chao, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), Taipei, Taiwan, ROC., Huang HY; Institute of Clinical Medicine (Drs. Chao, Huang, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), National Yang-Ming University, Taipei 112, Taiwan, ROC; Institute of Clinical Medicine, National Yang Ming Chiao Tung University (Drs. Chao, Huang, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), Taipei 112, Taiwan, ROC., Chen GY; Faculty of Medicine, College of Medicine, Fu-Jen Catholic University (Drs. Chao, G-Y. Chen), Taipei, Taiwan, ROC; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University (Drs. Chao, G-Y Chen, Liu, Chan, Chang, Y-J Chen, Wang, and Horng), Taipei, Taiwan, ROC; Institute of Clinical Medicine (Drs. Chao, Huang, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), National Yang-Ming University, Taipei 112, Taiwan, ROC; Institute of Clinical Medicine, National Yang Ming Chiao Tung University (Drs. Chao, Huang, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), Taipei 112, Taiwan, ROC; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital (Drs. Chao, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), Taipei, Taiwan, ROC., Liu CH; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University (Drs. Chao, G-Y Chen, Liu, Chan, Chang, Y-J Chen, Wang, and Horng), Taipei, Taiwan, ROC; Institute of Clinical Medicine (Drs. Chao, Huang, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), National Yang-Ming University, Taipei 112, Taiwan, ROC; Institute of Clinical Medicine, National Yang Ming Chiao Tung University (Drs. Chao, Huang, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), Taipei 112, Taiwan, ROC; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital (Drs. Chao, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), Taipei, Taiwan, ROC., Chan IS; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University (Drs. Chao, G-Y Chen, Liu, Chan, Chang, Y-J Chen, Wang, and Horng), Taipei, Taiwan, ROC; Institute of Clinical Medicine (Drs. Chao, Huang, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), National Yang-Ming University, Taipei 112, Taiwan, ROC; Institute of Clinical Medicine, National Yang Ming Chiao Tung University (Drs. Chao, Huang, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), Taipei 112, Taiwan, ROC; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital (Drs. Chao, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), Taipei, Taiwan, ROC., Chang CP; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University (Drs. Chao, G-Y Chen, Liu, Chan, Chang, Y-J Chen, Wang, and Horng), Taipei, Taiwan, ROC; Institute of Clinical Medicine (Drs. Chao, Huang, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), National Yang-Ming University, Taipei 112, Taiwan, ROC; Institute of Clinical Medicine, National Yang Ming Chiao Tung University (Drs. Chao, Huang, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), Taipei 112, Taiwan, ROC; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital (Drs. Chao, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), Taipei, Taiwan, ROC., Chen YJ; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University (Drs. Chao, G-Y Chen, Liu, Chan, Chang, Y-J Chen, Wang, and Horng), Taipei, Taiwan, ROC; Institute of Clinical Medicine (Drs. Chao, Huang, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), National Yang-Ming University, Taipei 112, Taiwan, ROC; Institute of Clinical Medicine, National Yang Ming Chiao Tung University (Drs. Chao, Huang, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), Taipei 112, Taiwan, ROC; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital (Drs. Chao, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), Taipei, Taiwan, ROC., Wang PH; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University (Drs. Chao, G-Y Chen, Liu, Chan, Chang, Y-J Chen, Wang, and Horng), Taipei, Taiwan, ROC; Institute of Clinical Medicine (Drs. Chao, Huang, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), National Yang-Ming University, Taipei 112, Taiwan, ROC; Institute of Clinical Medicine, National Yang Ming Chiao Tung University (Drs. Chao, Huang, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), Taipei 112, Taiwan, ROC; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital (Drs. Chao, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), Taipei, Taiwan, ROC; Department of Medical Research, China Medical University Hospital (Dr. Wang), Taichung, Taiwan, ROC., Horng HC; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University (Drs. Chao, G-Y Chen, Liu, Chan, Chang, Y-J Chen, Wang, and Horng), Taipei, Taiwan, ROC; Institute of Clinical Medicine (Drs. Chao, Huang, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), National Yang-Ming University, Taipei 112, Taiwan, ROC; Institute of Clinical Medicine, National Yang Ming Chiao Tung University (Drs. Chao, Huang, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), Taipei 112, Taiwan, ROC; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital (Drs. Chao, G-Y. Chen, Liu, Chan, Chang, Y-J. Chen, Wang, and Horng), Taipei, Taiwan, ROC. Electronic address: hchorng@vghtpe.gov.tw.
المصدر: Journal of minimally invasive gynecology [J Minim Invasive Gynecol] 2022 Apr; Vol. 29 (4), pp. 519-527. Date of Electronic Publication: 2021 Dec 10.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 101235322 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1553-4669 (Electronic) Linking ISSN: 15534650 NLM ISO Abbreviation: J Minim Invasive Gynecol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Philadelphia, PA : Elsevier, c2005-
مواضيع طبية MeSH: Suburethral Slings*/adverse effects , Urinary Incontinence, Stress*/surgery, Female ; Follow-Up Studies ; Humans ; Prospective Studies ; Retrospective Studies ; Treatment Outcome
مستخلص: Study Objective: To compare the safety, efficacy, and adverse events of the new mini-adjustable sling system "I-stop-mini" with transobturator midurethral slings "Obtryx" (Boston Scientific, Marlborough, MA) in women with stress urinary incontinence.
Design: A single-center, retrospective cohort study.
Setting: Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taiwan.
Patients: A total of 347 patients who underwent I-stop-mini or Obtryx for stress urinary incontinence treatment.
Interventions: Midurethral sling with either I-stop-mini or Obtryx.
Measurements and Main Results: The primary outcomes were objective success and subjective cure rates between the 2 groups. Objective success was evaluated using a 1-hour pad test, and subjective cure was evaluated using a questionnaire score (Incontinence Impact Questionnaire, Urinary Distress Inventory, and International Consultation on Incontinence Questionnaire Short Form). Secondary outcomes were the evaluation of surgical outcomes, operative data, and adverse events between the 2 groups. In total, 171 of 200 I-stop-mini subjects and 127 of 147 Obtryx subjects completed 12 months of follow-up. Regarding the objective success between the I-stop-mini group and the Obtryx group, 1-month postoperative (3.6 ± 5.2 vs 3.9 ± 12.6; p = .765), 6-month postoperative (3.9 ± 5.1 vs 4.2 ± 12.6; p = .848), and 12-month postoperative (4.6 ± 5.6 vs 4.5 ± 13.6; p = .980) 1-hour pad tests showed no significant difference. The 12-month subjective cure rates decreased from 94.7% (1-month postoperative) to 91.2% (12-month postoperative) in the I-stop-mini group and 95.2% (1-month postoperative) to 85.0% (12-month postoperative) in the Obtryx group. Similar and durable efficacy was observed between the 2 groups. The I-stop-mini group had shorter operative times and hospital stays than the Obtryx group; however, both groups showed similar adverse event rates.
Conclusion: The objective success and subjective cure rates of I-stop-mini did not differ to those of Obtryx. However, long-term data and further prospective studies on I-stop-mini are necessary to arrive at a definite conclusion.
(Copyright © 2022. Published by Elsevier Inc.)
فهرسة مساهمة: Keywords: Midurethral slings; Objective success; Tension-free vaginal tape
تواريخ الأحداث: Date Created: 20211213 Date Completed: 20220412 Latest Revision: 20220518
رمز التحديث: 20221213
DOI: 10.1016/j.jmig.2021.12.005
PMID: 34902596
قاعدة البيانات: MEDLINE
الوصف
تدمد:1553-4669
DOI:10.1016/j.jmig.2021.12.005