A modified mid-urethral sling technique for stress urinary incontinence: Three-year results of a prospective randomized trial in comparison with original transobturator tape procedure.
Modified technique
Pain
Stress urinary incontinence
Suburethral slings
Transobturator tape
Journal
International urogynecology journal
ISSN: 1433-3023
Titre abrégé: Int Urogynecol J
Pays: England
ID NLM: 101567041
Informations de publication
Date de publication:
Jul 2023
Jul 2023
Historique:
received:
22
06
2022
accepted:
18
09
2022
medline:
26
6
2023
pubmed:
11
10
2022
entrez:
10
10
2022
Statut:
ppublish
Résumé
Stress urinary incontinence (SUI) is the most common subtype of urinary incontinence, which causes many social, psychological, and economic problems. Mid-urethral sling (MUS) surgery is popular worldwide for the treatment of SUI. We aimed to define a new modified mid-urethral sling technique (mMUS) in SUI treatment and to compare it with transobturator tape (TOT) surgery in terms of safety and efficiency. A prospective, randomized study was planned with 126 women suffering from SUI. The patients were randomly divided into two groups, TOT and mMUS. In mMUS, the obturator membrane was not perforated. The objective and subjective symptoms, pain, quality-of-life measures, and side effect profiles were assessed in a 3-year follow-up. The visual analogue scale (VAS) was used for postoperative pain assessment. The International Consultation on Incontinence Questionnaire-Female Lower Urinary Tract Symptoms (ICIQ-FLUTS) and Patient Global Impression of Improvement (PGI-I) were used for cure assessment scales. In total, 96 patients completed 3-year follow-up (TOT, n = 49 and mMUS, n = 47). There was no statistical difference between the procedures in terms of cure rates (87.75% and 87.23%, respectively; p = 0.614). Mean VAS scores at 8 and 24 h postoperatively were significantly higher in the TOT group (p < 0.05). There was no significant difference between the groups in VAS scores after 24 h. There was no significant difference between groups in terms of pad test results, ICIQ, or PGI scores at baseline and 36 months after surgery. We showed that the mMUS procedure was as safe and effective as TOT, with less postoperative groin pain and complications.
Identifiants
pubmed: 36214818
doi: 10.1007/s00192-022-05381-5
pii: 10.1007/s00192-022-05381-5
doi:
Types de publication
Randomized Controlled Trial
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1429-1436Informations de copyright
© 2022. The International Urogynecological Association.
Références
Vaughan CP, Markland AD. Urinary Incontinence in Women. Ann Intern Med. 2020;172:ITC17.
doi: 10.7326/AITC202002040
pubmed: 32016335
Wu JM. Stress Incontinence in Women. N Engl J Med. 2021;384:2428–36.
doi: 10.1056/NEJMcp1914037
pubmed: 34161707
FDA. Urogynecologic Surgical Mesh Implants. 2022. https://www.fda.gov/medical-devices/implants-and-prosthetics/urogynecologic-surgical-mesh-implants . Accessed 16 Jun 2022
Chapple CR, Raz S, Brubaker L, Zimmern PE. Mesh Sling in an Era of Uncertainty: Lessons Learned and the Way Forward. Eur Urol. 2013;64:525–9.
doi: 10.1016/j.eururo.2013.06.045
pubmed: 23856039
Linder BJ, Elliott DS. Autologous Transobturator Urethral Sling Placement for Female Stress Urinary Incontinence: Short-term Outcomes. Urology. 2016;93:55–9.
doi: 10.1016/j.urology.2016.03.025
pubmed: 27036519
Sussman RD, Syan R, Brucker BM. Guideline of guidelines: urinary incontinence in women. BJU Int. 2020;125:638–55.
doi: 10.1111/bju.14927
pubmed: 31625673
Veit-Rubin N, Dubuisson J, Ford A, Dubuisson J, Mourad S, Digesu A. Burch colposuspension. Neurourol Urodyn. 2019;38:553–62.
doi: 10.1002/nau.23905
pubmed: 30620096
pmcid: 6850136
Zacche MM, Mukhopadhyay S, Giarenis I. Changing surgical trends for female stress urinary incontinence in England. Int Urogynecol J. 2019;30:203–9.
doi: 10.1007/s00192-018-3839-4
pubmed: 30523375
Nambiar A, Cody JD, Jeffery ST, Aluko P. Single-incision sling operations for urinary incontinence in women. Cochrane Database Syst Rev. 2017. https://doi.org/10.1002/14651858.CD008709.pub3 .
Haylen BT, de Ridder D, Freeman RM, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29:4–20.
doi: 10.1002/nau.20798
pubmed: 19941278
Gungor Uğurlucan F, Yasa C, Yuksel Ozgor B, Ayvacikli G, Gunaydin C, Balci BK, Yalcin O. Validation of the Turkish version of the ICIQ-FLUTS, ICIQ-FLUTS long-form, ICIQ-LUTS quality-of-life, and ICIQ-FLUTS sexual functions. Neurourol Urodyn. 2020;39:962–8.
doi: 10.1002/nau.24302
pubmed: 32032453
Burkhard FC, Bosch JLHR, Cruz F, et al. EAU Guidelines on Urinary Incontinence in Adults (limited update March 2018). Eur Assoc Urol. 2020;100.
Delorme E. Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol. 2001;11:1306–13.
pubmed: 11859672
Medtronic AbsorbaTack. https://www.medtronic.com/covidien/en-us/support/products/hernia-repair/absorbatack-fixation-device.html . Accessed 16 Jun 2022
Ulmsten U, Petros P. Intravaginal Slingplasty (IVS): An Ambulatory Surgical Procedure for Treatment of Female Urinary Incontinence. Scand J Urol Nephrol. 1995;29:75–82.
doi: 10.3109/00365599509180543
pubmed: 7618052
Groutz A, Gordon D, Wolman I, Jaffa AJ, David MP, Lessing JB. Tension-free vaginal tape for stress urinary incontinence: Is there a learning curve? Neurourol Urodyn. 2002;21:470–2.
doi: 10.1002/nau.10056
pubmed: 12232883
Ducarme G, Poncelet C, Grossetti A, Uzan M, Luton D. Prise en charge chirurgicale de l’incontinence urinaire d’effort : résultat d’une enquête par questionnaire parmi les membres de la Société de chirurgie gynécologique et pelvienne (SCGP). Gynécologie Obs Fertil. 2007;35:1105–10.
doi: 10.1016/j.gyobfe.2007.06.017
Novara G, Ficarra V, Boscolo-Berto R, Secco S, Cavalleri S, Artibani W. Tension-Free Midurethral Slings in the Treatment of Female Stress Urinary Incontinence: A Systematic Review and Meta-analysis of Randomized Controlled Trials of Effectiveness. Eur Urol. 2007;52:663–79.
doi: 10.1016/j.eururo.2007.06.018
pubmed: 17601652
Cubuk A, Yanaral F, Sahan A, Ozkaptan O, Savun M, Ayranci A, Sarilar Ö, Akca O. Modified Autologous Transobturator Tape Surgery - A Prospective Comparison With Transobturator Tape Surgery. Urology. 2020;146:72–8.
doi: 10.1016/j.urology.2020.09.018
pubmed: 32979380
Ogah J, Cody JD, Rogerson L. Minimally invasive synthetic suburethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev. 2009. https://doi.org/10.1002/14651858.CD006375.pub2 .
Waltregny D, de Leval J. The TVT-obturator surgical procedure for the treatment of female stress urinary incontinence: a clinical update. Int Urogynecol J. 2009;20:337–48.
doi: 10.1007/s00192-008-0753-1
Fusco F, Abdel-Fattah M, Chapple CR, Creta M, La Falce S, Waltregny D, Novara G. Updated Systematic Review and Meta-analysis of the Comparative Data on Colposuspensions, Pubovaginal Slings, and Midurethral Tapes in the Surgical Treatment of Female Stress Urinary Incontinence. Eur Urol. 2017;72:567–91.
doi: 10.1016/j.eururo.2017.04.026
pubmed: 28479203
Ford AA, Rogerson L, Cody JD, Ogah J. Mid-urethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev. 2015. https://doi.org/10.1002/14651858.CD006375.pub3 .
Rechberger T, Futyma K, Jankiewicz K, Adamiak A, Bogusiewicz M, Bartuzi A, Miotła P, Skorupski P, Tomaszewski J. Tape Fixation: An Important Surgical Step to Improve Success Rate of Anti-Incontinence Surgery. J Urol. 2011;186:180–4.
doi: 10.1016/j.juro.2011.03.017
pubmed: 21575972
Palos CC, Maturana AP, Ghersel FR, Fernandes CE, Oliveira E. Prospective and randomized clinical trial comparing transobturator versus retropubic sling in terms of efficacy and safety. Int Urogynecol J. 2018;29:29–35.
doi: 10.1007/s00192-017-3495-0
pubmed: 28971224
Even L, Tibi B, Bentellis I, et al. Complications des bandelettes sous urétrales : une revue de la littérature par le Comité d’urologie et pelvipérinéologie de la femme de l’Association française d’urologie. Progrès en Urol. 2021;31:1141–66.
doi: 10.1016/j.purol.2021.09.007
Gomes CM, Carvalho FL, Bellucci CHS, Hemerly TS, Baracat F, de Bessa J Jr, Srougi M, Bruschini H. Update on complications of synthetic suburethral slings. Int braz j urol. 2017;43:822–34.
doi: 10.1590/s1677-5538.ibju.2016.0250
pubmed: 28266818
pmcid: 5678512
Blaivas JG, Simma-Chiang V, Gul Z, Dayan L, Kalkan S, Daniel M. Surgery for Stress Urinary Incontinence. Urol Clin North Am. 2019;46:41–52.
doi: 10.1016/j.ucl.2018.08.014
pubmed: 30466701
Mahdy A, Ghoniem GM. Autologous rectus fascia sling for treatment of stress urinary incontinence in women: A review of the literature. Neurourol Urodyn. 2019;38:51–8.
doi: 10.1002/nau.23878
Wein AJ. Re: Mid-Urethral Sling Operations for Stress Urinary Incontinence in Women. J Urol. 2016;196:847–8.
doi: 10.1016/j.juro.2016.06.074
pubmed: 27597089
Sohlberg EM, Elliott CS. Burch Colposuspension. Urol Clin North Am. 2019;46:53–9.
doi: 10.1016/j.ucl.2018.08.002
pubmed: 30466702
Boyers D, Kilonzo M, Mostafa A, Abdel-Fattah M. Comparison of an adjustable anchored single-incision mini-sling, Ajust ® , with a standard mid-urethral sling, TVT-O TM : a health economic evaluation. BJU Int. 2013;112:1169–77.
doi: 10.1111/bju.12388
pubmed: 24053310