Dados do Trabalho

Título

SHORT-, MID-, AND LONG-TERM INCONTINENCE OUTCOMES IN WOMEN UNDERGOING MID-URETHRAL SLING PROCEDURES: A RETROSPECTIVE COHORT STUDY COMPARING SAFYRE™ VERSUS HANDMADE SLING

Resumo

Purpose: This study examined and compared efficacy, safety, satisfaction, and complications of the retropubic Safyre™ sling and a retropubic hand-made synthetic sling (HMS) in a short-, mid- and long-term follow-up.
Methods: We retrospectively reviewed a prospectively maintained database of women who underwent Safyre™ or HMS between March 7th 2005 and December 27th 2017. Patients had first assessment (7-10 days), second (40-45 days), and third (sixth month). Between September and December 2018, patients who completed at least one year of surgery, received a telephone call. Follow-up compared quartiles of follow-up time and data analyzed to determine complications (Clavien-Dindo), success rates (International Consultation on Incontinence Modular Questionnaire for Urinary Incontinence Short Form – ICIQ-UI SF), and patient satisfaction.
Results: 221 patients were evaluated after a median of 78.47 (± 38.69) months, 125 (55%) in the HMS, and 96 (45%) in the Safyre™ group. Higher transoperative bladder injury was observed with Safyre™ (0% vs. 4.2%, p=0.034), and a tendency for urinary retention, requiring indwelling urinary catheter over 24 hours (2.4% vs. 8.3%, p=0.061). Both HMS (p<0.001) and Safyre™ (p<0.001) presented improvement ICIQ-UI SF. There was no difference between satisfaction, subjective cure rates, ICIQ-UI SF, or complications. Women with short-term follow-up had the highest subjective treatment success rates; mid- and long-term follow-up was lower but sustained.
Conclusions: The HMS and Safyre™ have similar satisfaction and subjective cure rates, with marked ICIQ-UI SF improvements. Higher rates of transoperative bladder injury were seen in patients who received Safyre™ retropubic sling.

Palavras Chave ( separado por ; )

Urinary Incontinence, Stress; Mid-urethral Sling; Postoperative Complication

Área

Urologia Feminina