A prospective study of a single-incision sling at the time of robotic sacrocolpopexyReport as inadecuate




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International Urogynecology Journal

, Volume 25, Issue 11, pp 1541–1546

First Online: 04 June 2014Received: 06 February 2014Accepted: 01 May 2014

Abstract

Introduction and hypothesisThe objective of this study was to evaluate the efficacy and safety of the Miniarc Precise® single-incision sling American Medical Systems, Minnetonka, MN, USA placed at the time of a robotic sacrocolpopexy.

MethodsThis was a prospective study of a single-incision suburethral sling placed at the time of robotic sacrocolpopexy in women with stress urinary incontinence SUI and pelvic organ prolapse. Primary outcome measure was cure at 1 year, defined objectively by a negative cough stress test CST and subjectively by a score of -0 or 1- on question 17 of the Pelvic Floor Distress Inventory PFDI-20: -Do you experience urine leakage related to coughing-sneezing-laughing?- Secondary outcome measures included the change in Urinary Distress Inventory UDI-6 and Urinary Impact Questionnaire UIQ-7 scores at 1 year. All sling-related complications were reported. Paired Student’s t test and the Wilcoxon signed-rank test were used for statistical analysis.

ResultsOne hundred and one patients were included between August 2010 and July 2012. One-year follow-up was available for 97 out of 101 patients 96 %. Objective cure was 90 % and subjective cure was 87 %. Baseline UDI-6 scores improved from 34.8 ± 25.1 to 6.7 ± 11.2 at 1 year p < 0.001. Similarly, UIQ-7 scores improved from 21.1 ± 22.8 to 2.4 ± 8.2 at 1 year p < 0.001. There were no intraoperative cystotomies, no mesh erosions, no sling revisions, and no cases of urinary retention. The retreatment rate for persistent SUI was 8 % 8 out of 97.

ConclusionsThe addition of a single-incision suburethral sling at the time of robotic sacrocolpopexy in women with SUI resulted in an 87 % cure rate at 1 year.

KeywordsPelvic organ prolapse Robotic sacrocolpopexy Single-incision sling Stress urinary incontinence  Download fulltext PDF



Author: Carolyn Botros - Christa Lewis - Patrick Culligan - Charbel Salamon

Source: https://link.springer.com/







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