Assessments of longterm results of different types of sling procedures for stress urinary incontinence in women
- Authors: Loran O.B1, Seregin A.V1,2, Dovlatov Z.A1,2
-
Affiliations:
- Russian Medical Academy of Postgraduate Education
- S.P Botkin City Clinical Hospital of Moscow Health Care Department
- Issue: No 1 (2016)
- Pages: 40-45
- Section: Articles
- URL: https://journals.eco-vector.com/1728-2985/article/view/282348
- ID: 282348
Cite item
Open Access
Access granted
Abstract
Aim: To evaluate long-term results of surgery for stress urinary incontinence in women using different types of sling procedures. The study included 698 patients aged 42 to 68 years (median 54 years) with stress urinary incontinence. TVT was used in 167 (23.9%) cases, TVT-O Gynecare system in 359 (51.4%), TVT-O Monarch system in 105 (15.0%), and TVT Secur mini-sling system - in 67 (9.6%). Follow-up ranged from 12 to 108 months (median 55 months). Patients' status was assessed using UDI-6 and IIQ-7 questionnaires, an improvised treatment satisfaction questionnaire, voiding diary, cough test and 1-hour Pad-test. The effectiveness of the treatment, according to objective criteria was 92.2%, 93.3%, 91.4% and 92.5% after surgery with TVT, TVT-O Gynecare, TVT-O Monarch and TVT Secur, respectively, and according to subjective criteria - 90.4%, 91.1%, 89.5% and 91.0%. No differences in the effectiveness of techniques were found. The data obtained in long-term observations of a large sample of patients treated with a variety of techniques in a single center showed the effectiveness and safety of modern sling procedures for correcting urinary incontinence in women.
Full Text
About the authors
O. B Loran
Russian Medical Academy of Postgraduate Education
Email: oleg_loran@gmail.com
Department of Urology and Surgical Andrology
A. V Seregin
Russian Medical Academy of Postgraduate Education; S.P Botkin City Clinical Hospital of Moscow Health Care Department
Email: 41urology@41urology.ru
Department of Urology and Surgical Andrology
Z. A Dovlatov
Russian Medical Academy of Postgraduate Education; S.P Botkin City Clinical Hospital of Moscow Health Care Department
Email: dovlatov.zyaka@mail.ru
Department of Urology and Surgical Andrology
References
- Botlero R., Urquhart D.M., Davis S.R., Bell R.J. Prevalence and incidence of urinary incontinence in women: review of the literature and investigation of methodological issues. Int. J. Urol. 2008; 15 (3): 230-234.
- Kwon B.E., Kim G.Y., Son Y.J., Roh Y.S., You M.A. Quality of life of women with urinary incontinence: a systematic literature review. Int. Neurourol. J. 2010;14(3):133-138.
- Wood L.N., Anger J.T. Urinary incontinence in women. BMJ 2014;349:g4531.
- Вирясов А.В., Новикова А.С., Шагинян Г.Г., Щербакова С.А., Гурко Г.И. Изучение ограничений жизнедеятельности у женщин с недержанием мочи. Современные проблемы науки и образования. 2014; 6: 974
- Serati M., Salvatore S., Uccella S., Artibani W., Novara G., Cardozo L., Bolis P. Surgical treatment for female stress urinary incontinence: what is the gold-standard procedure? Int. Urogynecol. J. 2009; 20 (6): 619-621.
- Касян Г.Р., Гвоздев М.Ю., Годунов Б.Н., Прокопович М.А., Пушкарь Д.Ю. Анализ результатов лечения недержания мочи у женщин с использованием свободной субуретральной синтетической петли: опыт 1000 операций. Урология. 2013; 13: 5-11
- Nilsson C.G., Kuuva N., Falconer C. et al. Long term results of the tension free vaginal tape procedure for surgical treatment of female stress urinary incontinence. J. Pelvic. Floor. Dysfunc. 2008; 12(2): 55-58.
- Novara G., Artibani W., Barber M.D., Chapple C.R., Costantini E., Ficarra V., Hilton P., Nilsson C.G., Waltregny D. 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. 2010;5 (8):218-238.
- Thwoff J.W., Abrams P., Andersson K.E., Artibani W., Chapple C.R., Drake M.J., Hampel C., Neisius A., Schroder A., Tubaro A. EAU guidelines on urinary incontinence. Eur. Urol. 2011; 59(3): 387-400.
- Novara G., Artibani W., Barber M.D., Chapple C.R., Costantini E., Ficarra V., Hilton P., Nilsson C.G., Waltregny D. 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. Urology. 2010;5(8):218-238.
- Laurikainen E., Valpas A., Aukee P., Kivela A., Rinne K., Takala T., Nilsson C.G. Five-year results of a randomized trial comparing retropubic and transobturator midurethral slings for stress incontinence. Eur. Urol. 2014;65(6):1109-1114.
- Sun X., Yang Q., Sun F., Shi Q. Comparison between the retropubic and transobturator approaches in the treatment of female stress urinary incontinence: a systematic review and meta-analysis of effectiveness and complications. Int Braz. J. Urol. 2015; 41(2):220-229.
- Пушкарь Д.Ю., Касян Г.Р., Колонтарев К.Б. и др. Отдаленные результаты использования свободной синтетической петли в лечении недержания мочи у женщин [восьмилетние результаты]. Урология. 2010; 2: 32-36
- Madhuvrata P., Riad M., Ammembal M.K., Agur W., Abdel-Fattah M. Systematic review and meta-analysis of «inside-out» versus «outside-in» transobturator tapes in management of stress urinary incontinence in women. Eur. J. Obstet. Gynecol. Reprod. Biol. 2012;162(1):1-10.
- Richter H.E., Albo M.E., Zyczynski H.M., Kenton K., Norton P.A., Sirls L.T., Kraus S.R., Chai T.C., Lemack G.E., Dandreo K.J., Varner R.E.,Menefee S., Ghetti C., Brubaker L., Nygaard I., Khandwala S., Rozanski T.A., Johnson H., Schaffer J., Stoddard A.M., Holley R.L., Nager C.W.,Moalli P.,Mueller E.,Arisco A.M., Corton M., Tennstedt S., Chang T.D., Gormley E.A., Litman H.J.; Urinary Incontinence Treatment Network. Retropubic versus transobturator midurethral slings for stress incontinence. N. Engl. J. Med. 2010;362(22): 2066-2076.
- Mostafa A., Lim C.P., Hopper L., Madhuvrata P., Abdel-Fattah M. Single-incision mini-slings versus standard midurethral slings in surgical management of female stress urinary incontinence: an updated systematic review and meta-analysis of effectiveness and complications. Eur. Urol. 2014;65(2):402-427.
- Качмазов А.А. Оптимизация подходов к коррекции недержания мочи у женщин с помощью сетчатых имплантов: автореф. дис. канд. мед. наук. М., 2014. 41 с
Supplementary files
