Document Detail


Evaluation of safety and efficacy of single-incision mid-urethral short tape procedure (MiniArc™ tape) for stress urinary incontinence under local anaesthesia.
MedLine Citation:
PMID:  20938645     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION AND HYPOTHESIS: The aim of this study was to assess complications and short-term results (3 months and 1 year) from a single-incision mid-urethral tape for stress urinary incontinence.
METHODS: Seventy-four women underwent single-incision mid-urethral tape under local anaesthesia, 59 of whom completed a 1-year follow-up. Thirty-seven (50%) suffered urodynamic stress urinary incontinence. The International Consultation on Incontinence Questionnaire--Short Form (ICIQ-SF) was completed in the context of the case history pre-operatively and post-operatively. The duration of follow-up ranged from 91 to 466 days.
RESULTS: The use of MiniArc™ tape in our study resulted in the objective cure rate (negative cough stress test) of 74% and 66% at 3 months and 1 year, respectively. Scores with ICIQ-SF questionnaire improved significantly at 3 months and 1 year (p < 0.0001). No major intra-operative complication was reported in our study.
CONCLUSIONS: Despite the advantage of being done under local anaesthetic, the overall cure rate is 66% at 1 year.
Authors:
Nishigandh Deole; Angelika Kaufmann; Angamuthu Arunkalaivanan
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-10-12
Journal Detail:
Title:  International urogynecology journal     Volume:  22     ISSN:  1433-3023     ISO Abbreviation:  Int Urogynecol J     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-10     Completed Date:  2011-05-26     Revised Date:  2011-08-18    
Medline Journal Info:
Nlm Unique ID:  101567041     Medline TA:  Int Urogynecol J     Country:  England    
Other Details:
Languages:  eng     Pagination:  335-9     Citation Subset:  IM    
Affiliation:
Department of Gynecology, City Hospital, Dudley Road, Birmingham B18 7QH, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Anesthesia, Local*
Female
Follow-Up Studies
Gynecologic Surgical Procedures / methods*
Health Surveys
Humans
Middle Aged
Patient Satisfaction
Prospective Studies
Retrospective Studies
Suburethral Slings / adverse effects*
Surgical Procedures, Minimally Invasive / methods*
Treatment Outcome
Urinary Incontinence, Stress / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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