دورية أكاديمية

Efficacy of the new adjustable I-stop-mini sling system in women with stress urinary incontinence and intrinsic sphincter deficiency: A retrospective cohort study.

التفاصيل البيبلوغرافية
العنوان: Efficacy of the new adjustable I-stop-mini sling system in women with stress urinary incontinence and intrinsic sphincter deficiency: A retrospective cohort study.
المؤلفون: Chao WT; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.; Department of Obstetrics and Gynecology, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.; Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.; Faculty of Medicine, College of Medicine, Fu-Jen Catholic University, Taipei, Taiwan, ROC., Chen GY; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.; Department of Obstetrics and Gynecology, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.; Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.; Faculty of Medicine, College of Medicine, Fu-Jen Catholic University, Taipei, Taiwan, ROC., Liu CH; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.; Department of Obstetrics and Gynecology, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.; Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC., Chang CP; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.; Department of Obstetrics and Gynecology, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.; Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.; School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC., Wang PH; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.; Department of Obstetrics and Gynecology, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.; Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.; School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.; Department of Medical Research, China Medical University Hospital, Taichung, Taiwan, ROC., Horng HC; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.; Department of Obstetrics and Gynecology, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.; Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.; School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.
المصدر: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2023 Jan; Vol. 160 (1), pp. 263-270. Date of Electronic Publication: 2022 Jul 29.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: United States NLM ID: 0210174 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-3479 (Electronic) Linking ISSN: 00207292 NLM ISO Abbreviation: Int J Gynaecol Obstet Subsets: MEDLINE
أسماء مطبوعة: Publication: 2017- : Malden, MA : Wiley
Original Publication: [New York, NY] Hoeber Medical Division, Harper & Row, [c1969-
مواضيع طبية MeSH: Urinary Incontinence, Stress*/surgery , Urinary Incontinence, Stress*/etiology , Suburethral Slings*/adverse effects, Female ; Humans ; Retrospective Studies ; Urologic Surgical Procedures ; Operative Time ; Treatment Outcome
مستخلص: Objective: We aimed to evaluate the efficacy, surgical outcomes, and adverse events of the adjustable midurethral sling I-stop-mini in women with intrinsic sphincter deficiency (ISD)-type stress urinary incontinence. We compared this new sling system with the Obtryx transobturator midurethral sling system.
Methods: This retrospective cohort study was conducted at a single center from June 2017 to December 2020. A total of 141 women who underwent placement of an I-stop-mini or Obtryx and were followed up for at least 1 year were enrolled. ISD was defined as a Valsalva leak point pressure of ≤60 cmH 2 O or a maximal urethral closure pressure of ≤20 cmH 2 O. Student t test was used to compare continuous variables, and chi-square test was used to compare the distribution of categorical data.
Results: In terms of objective success, I-stop-mini and Obtryx showed no significant differences in the postoperative 1-month, 6-month, and 12-month. The two devices showed similar effectiveness regardless of the ISD definition. The I-stop-mini group had a significantly shorter operative time, whereas the adverse event rates were similar.
Conclusion: The subjective cure rate, objective success, and adverse event rate did not differ in the two devices. I-stop-mini had a significantly shorter operative time.
(© 2022 International Federation of Gynecology and Obstetrics.)
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فهرسة مساهمة: Keywords: I-stop-mini; Obtryx; adjustable midurethral slings; intrinsic sphincter deficiency; stress urinary incontinence
تواريخ الأحداث: Date Created: 20220703 Date Completed: 20221215 Latest Revision: 20221222
رمز التحديث: 20240628
DOI: 10.1002/ijgo.14327
PMID: 35780463
قاعدة البيانات: MEDLINE
الوصف
تدمد:1879-3479
DOI:10.1002/ijgo.14327