Tags

Type your tag names separated by a space and hit enter

Comparative study of autologous pubovaginal sling and synthetic transobturator (TOT) SAFYRE sling in the treatment of stress urinary incontinence.
Arch Gynecol Obstet. 2006 Feb; 273(5):288-92.AG

Abstract

PURPOSE

To compare short-term results of autologous pubovaginal sling and synthetic transobturator (TOT) SAFYRE sling in the treatment of female stress urinary incontinence (SUI).

METHODS

Twenty women referred for surgical treatment of SUI were assigned randomly to autologous pubovaginal sling or synthetic TOT sling. Inclusion criteria were primary treatment of SUI and urodynamic study showing SUI without detrusor overactivity. Pre- and postoperative quantification of the severity of incontinence was done by pad test and a validated questionnaire (King's Health Questionnaire).

RESULTS

There were no differences in patients' mean age, parity, body mass index, rate of postmenopausal state, pelvic floor defects and mean Valsalva leak point pressure in the preoperative urodynamic study. Mean operating time (21.1 +/- 3.8 vs. 69.5 +/- 23.7 min; P < 0.001) and hospital stay (28.8 +/- 8.4 vs. 44.4 +/- 5.8 h; P < 0.001) was shorter in the TOT than the autologous group. The postoperative pad test (39.4 +/- 12.5 vs. 8.4 +/- 5.2 g; P = 0.01) and the absent in the improvement in the quality of life were significantly higher in the TOT group.

CONCLUSION

Our initial results suggest that the synthetic TOT technique had worse effectiveness for treating female SUI compared to autologous pubovaginal sling.

Authors+Show Affiliations

Department of Gynecology and Obstetrics, School of Medicine, Federal University of Minas Gerais, Avenida Professor Alfredo Balena 190. Santa Efigênia. Belo Horizonte, 30130100 , Minas Gerais, Brazil. agsilvaf@terra.com.brNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

16189692

Citation

Silva-Filho, Agnaldo L., et al. "Comparative Study of Autologous Pubovaginal Sling and Synthetic Transobturator (TOT) SAFYRE Sling in the Treatment of Stress Urinary Incontinence." Archives of Gynecology and Obstetrics, vol. 273, no. 5, 2006, pp. 288-92.
Silva-Filho AL, Cândido EB, Noronha A, et al. Comparative study of autologous pubovaginal sling and synthetic transobturator (TOT) SAFYRE sling in the treatment of stress urinary incontinence. Arch Gynecol Obstet. 2006;273(5):288-92.
Silva-Filho, A. L., Cândido, E. B., Noronha, A., & Triginelli, S. A. (2006). Comparative study of autologous pubovaginal sling and synthetic transobturator (TOT) SAFYRE sling in the treatment of stress urinary incontinence. Archives of Gynecology and Obstetrics, 273(5), 288-92.
Silva-Filho AL, et al. Comparative Study of Autologous Pubovaginal Sling and Synthetic Transobturator (TOT) SAFYRE Sling in the Treatment of Stress Urinary Incontinence. Arch Gynecol Obstet. 2006;273(5):288-92. PubMed PMID: 16189692.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparative study of autologous pubovaginal sling and synthetic transobturator (TOT) SAFYRE sling in the treatment of stress urinary incontinence. AU - Silva-Filho,Agnaldo L, AU - Cândido,Eduardo B, AU - Noronha,Alessandra, AU - Triginelli,Sérgio A, Y1 - 2005/09/28/ PY - 2005/07/06/received PY - 2005/09/02/accepted PY - 2005/9/29/pubmed PY - 2007/1/26/medline PY - 2005/9/29/entrez SP - 288 EP - 92 JF - Archives of gynecology and obstetrics JO - Arch Gynecol Obstet VL - 273 IS - 5 N2 - PURPOSE: To compare short-term results of autologous pubovaginal sling and synthetic transobturator (TOT) SAFYRE sling in the treatment of female stress urinary incontinence (SUI). METHODS: Twenty women referred for surgical treatment of SUI were assigned randomly to autologous pubovaginal sling or synthetic TOT sling. Inclusion criteria were primary treatment of SUI and urodynamic study showing SUI without detrusor overactivity. Pre- and postoperative quantification of the severity of incontinence was done by pad test and a validated questionnaire (King's Health Questionnaire). RESULTS: There were no differences in patients' mean age, parity, body mass index, rate of postmenopausal state, pelvic floor defects and mean Valsalva leak point pressure in the preoperative urodynamic study. Mean operating time (21.1 +/- 3.8 vs. 69.5 +/- 23.7 min; P < 0.001) and hospital stay (28.8 +/- 8.4 vs. 44.4 +/- 5.8 h; P < 0.001) was shorter in the TOT than the autologous group. The postoperative pad test (39.4 +/- 12.5 vs. 8.4 +/- 5.2 g; P = 0.01) and the absent in the improvement in the quality of life were significantly higher in the TOT group. CONCLUSION: Our initial results suggest that the synthetic TOT technique had worse effectiveness for treating female SUI compared to autologous pubovaginal sling. SN - 0932-0067 UR - https://www.unboundmedicine.com/medline/citation/16189692/Comparative_study_of_autologous_pubovaginal_sling_and_synthetic_transobturator__TOT__SAFYRE_sling_in_the_treatment_of_stress_urinary_incontinence_ L2 - https://dx.doi.org/10.1007/s00404-005-0083-1 DB - PRIME DP - Unbound Medicine ER -