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Single-center retrospective study of the technique, safety, and 12-month efficacy of the MiniArcâ„¢ single-incision sling: a new minimally invasive procedure for treatment of female SUI.
- Source :
-
Surgical technology international [Surg Technol Int] 2009 Apr; Vol. 18, pp. 175-81. - Publication Year :
- 2009
-
Abstract
- This study was conducted to report on the technique, safety, and early efficacy of a single-incision mini-sling to treat female stress urinary incontinence (SUI). Women suffering from SUI were offered a single-incision approach to place a suburethral polypropylene mesh tape in a position similar to that of a transobturator sling without passage of needles through the groin. Retrospective data was collected on 61 patients that received the new MiniArcâ„¢ single-incision sling at a single center in the United States. Patient selection and concomitant procedures were determined by the senior authors at the center, and the senior authors were the primary surgeons in all cases. Procedures were completed under general, regional, or MAC anesthesia as determined by the surgeon. Average operative time for the sling procedure alone was short and the average blood loss was 29 cc. There were no intraoperative complications. There was one postoperative adverse event secondary to urinary retention that was resolved by loosening of the sling under local anesthesia in an office setting. The overall cure rate at 12 months determined by physician and patient assessment in 58/61 patients was 91.4%. No patients suffered pain or dyspareunia secondary to the sling, and no erosions or extrusions were reported. In this initial study, the MiniArcâ„¢ single-incision sling appears to be a safe approach to treat female SUI, and the early clinical results are encouraging.
- Subjects :
- Adult
Aged
Aged, 80 and over
Female
Humans
Laparoscopy adverse effects
Middle Aged
Minimally Invasive Surgical Procedures adverse effects
Prosthesis Design
Prosthesis Implantation adverse effects
Prosthesis Implantation methods
Retrospective Studies
Treatment Outcome
Urinary Incontinence, Stress diagnosis
Urologic Surgical Procedures adverse effects
Laparoscopy methods
Minimally Invasive Surgical Procedures instrumentation
Minimally Invasive Surgical Procedures methods
Suburethral Slings
Urinary Incontinence, Stress surgery
Urologic Surgical Procedures instrumentation
Urologic Surgical Procedures methods
Subjects
Details
- Language :
- English
- ISSN :
- 1090-3941
- Volume :
- 18
- Database :
- MEDLINE
- Journal :
- Surgical technology international
- Publication Type :
- Academic Journal
- Accession number :
- 19585431