Premium
The Ibero‐American experience with a re‐adjustable minimally invasive sling
Author(s) -
Palma Paulo C.R.,
Dambros Miriam,
Riccetto Cássio Z.,
Thiel Marcelo,
Netto Nelson R.
Publication year - 2005
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 - 10.1111/j.1464-410x.2005.05295.x
Subject(s) - medicine , sling (weapon) , urinary incontinence , surgery , invasive surgery , stress incontinence
OBJECTIVE To report our experience with the Safyre TM (Promedon, Córdoba, Argentina), a new re‐adjustable and minimally invasive sling for treating stress urinary incontinence (SUI), which combines the efficacy of slings with re‐adjustability. PATIENTS AND METHODS In all, 126 consecutive patients with a clinical and urodynamic diagnosis of SUI had a Safyre sling procedure (mean age 63 years, range 40–71). Seventy‐six patients (60%) presented after previous failed anti‐incontinence procedures; all had a physical and clinical examination, a stress test, urodynamic study and assessment of pad use before the surgery. All the patients presented with symptoms of SUI and 37 (29%) also reported mild urgency. RESULTS The mean (range) follow‐up was 18 (12–36) months, and the mean operative duration 25 min. Dystopia was repaired whenever necessary during the same procedure. The mean hospital stay was 24 h. In three implants (2%) the bladder was perforated. After surgery 26 patients (21%) developed urgency symptoms; during the follow‐up 116 (92%) were continent, three (2%) reported an improvement and seven (6%) were dissatisfied. CONCLUSION The Safyre is a safe and quick procedure that allows for postoperative readjustment; this technique may be an attractive alternative if the good results obtained so far prove to be durable.