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Assessment of a new bone anchor system for the treatment of female genuine stress incontinence
Author(s) -
ElToukhy,
Tolba,
A. G. Davies
Publication year - 1999
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1046/j.1464-410x.1999.00266.x
Subject(s) - medicine , surgery , blood loss , stress incontinence , urinary incontinence
Objective To evaluate the efficacy of the In‐Tac bone‐anchor system (using shape‐memory metal bone anchors, Influence Medical Technologies, Lancs, UK) as a vaginal procedure for the treatment of female genuine stress incontinence (GSI). Patients and methods Between January 1997 and April 1998, 30 patients with GSI were recruited into the study (age range 36–74 years); patients who had undergone previous failed continence surgery were not excluded. All patients underwent a urodynamic assessment before and 3 months after surgery. All In‐Tac bone‐anchor procedures were performed under general anaesthesia. Patients were reviewed after surgery at 6 weeks, 3, 6 and 12 months, and yearly thereafter. Results The mean (range) operative duration was 42 (20–75) min and the blood loss 60 (10–200) mL (median 30). There were no intraoperative complications and minimal analgesia was required postoperatively. At 6 weeks, 27 patients (90%) were subjectively cured. The urodynamic assessment at 3 months revealed that 22 patients (73%) were objectively cured; at 6 months and one year the subjective cure rate was 80%. Conclusion The In‐Tac bone‐anchor system is simple and safe, the procedure easily learned and the operation brief. It offers promise as an incision‐less vaginal procedure that may have wide application for the treatment of women with GSI. A longer follow‐up is needed to fully confirm its durability and effectiveness.