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Use of surgeon-tailored polypropylene mesh as a needle-less single-incision sling for treating female stress urinary incontinence: Preliminary results.
Arab J Urol. 2015 Sep; 13(3):191-8.AJ

Abstract

OBJECTIVE

To evaluate the safety and efficacy of a procedure using surgeon-tailored polypropylene mesh (STM) through a needle-less single-incision technique for treating stress urinary incontinence (SUI), aiming to decrease the cost of treatment, which is important in developing countries.

PATIENTS AND METHODS

In all, 43 women diagnosed using a cough stress test were treated from January 2011 to June 2013 at the Urology and Gynaecology Departments (dual-centre), Cairo University Hospitals. Previous surgery was not a contra-indication. Patients with a postvoid residual urine volume of >100 mL, a bladder capacity of <300 mL, impaired compliance or neurological lesions were excluded. The Stress and Urge incontinence Quality of life Questionnaire (SUIQQ) and urodynamic variables were compared before and after surgery. The variables were compared between the baseline and postoperative follow-up values using a paired t-test, a Wilcoxon signed-rank test or McNemar's test.

RESULTS

The mean age was 42.7 years and 20 (47%) patients had associated urgency UI (UUI), whilst 21 (49%) had intrinsic sphincter deficiency. The median (range) operative duration was 14 (5-35) min. There were no complications during surgery. The mean (SD, range) follow-up was 28.1 (5.1, 18-36) months. Postoperative complications were vaginal discharge (5%), failure of wound healing (5%), dyspareunia (5%) and UTI (5%). The sling was removed in one case. SUI, UUI and quality-of-life indices improved significantly after surgery. There were no significant differences in pressure-flow studies before and after surgery. In all, 38 (88%) patients were cured, four (9%) improved and in one only the treatment failed (2%).

CONCLUSION

This technique is simple, safe, effective, reproducible and economical for treating SUI. The STM was easy to insert in a short operation.

Authors+Show Affiliations

Urology Department, Kasr Al-Ainy Hospital, Cairo University, Egypt.Urology Department, Kasr Al-Ainy Hospital, Cairo University, Egypt.Urology Department, Kasr Al-Ainy Hospital, Cairo University, Egypt.Urology Department, Kasr Al-Ainy Hospital, Cairo University, Egypt.Department of Gynecology and Obstetrics, Cairo University, Cairo, Egypt.Urology Department, Kasr Al-Ainy Hospital, Cairo University, Egypt.Urology Department, Kasr Al-Ainy Hospital, Cairo University, Egypt.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26413346

Citation

ElSheemy, Mohammed S., et al. "Use of Surgeon-tailored Polypropylene Mesh as a Needle-less Single-incision Sling for Treating Female Stress Urinary Incontinence: Preliminary Results." Arab Journal of Urology, vol. 13, no. 3, 2015, pp. 191-8.
ElSheemy MS, Ghamrawy H, Fathy H, et al. Use of surgeon-tailored polypropylene mesh as a needle-less single-incision sling for treating female stress urinary incontinence: Preliminary results. Arab J Urol. 2015;13(3):191-8.
ElSheemy, M. S., Ghamrawy, H., Fathy, H., Hussein, H. A., Hussein, E. A., Aly, A., & Rahman, S. A. (2015). Use of surgeon-tailored polypropylene mesh as a needle-less single-incision sling for treating female stress urinary incontinence: Preliminary results. Arab Journal of Urology, 13(3), 191-8. https://doi.org/10.1016/j.aju.2015.04.003
ElSheemy MS, et al. Use of Surgeon-tailored Polypropylene Mesh as a Needle-less Single-incision Sling for Treating Female Stress Urinary Incontinence: Preliminary Results. Arab J Urol. 2015;13(3):191-8. PubMed PMID: 26413346.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Use of surgeon-tailored polypropylene mesh as a needle-less single-incision sling for treating female stress urinary incontinence: Preliminary results. AU - ElSheemy,Mohammed S, AU - Ghamrawy,Hisham, AU - Fathy,Hesham, AU - Hussein,Hussein A, AU - Hussein,Eman A, AU - Aly,Ahmed, AU - Rahman,Sherif Abdel, Y1 - 2015/06/14/ PY - 2015/01/09/received PY - 2015/04/04/revised PY - 2015/04/30/accepted PY - 2015/9/29/entrez PY - 2015/9/29/pubmed PY - 2015/9/29/medline KW - (M)(U)(S)UI, (mixed) (urge) (stress) urinary incontinence KW - ALPP, abdominal leak-point pressure KW - CST, cough stress test KW - DO, detrusor overactivity KW - Female KW - ISD, intrinsic sphincter deficiency KW - NSIT, needle-less single-incision technique KW - PVR, postvoid residual urine KW - PdetQmax, detrusor pressure at maximum urinary flow rate KW - Polypropylene mesh KW - Qmax, maximum urinary flow rate KW - QoL, quality of life KW - STM, surgeon-tailored ordinary polypropylene mesh KW - SUI, stress urinary incontinence KW - SUIQQ, Stress and Urge Incontinence Quality of life Questionnaire KW - Single incision KW - Stress urinary incontinence KW - TVT, tension-free vaginal tape SP - 191 EP - 8 JF - Arab journal of urology JO - Arab J Urol VL - 13 IS - 3 N2 - OBJECTIVE: To evaluate the safety and efficacy of a procedure using surgeon-tailored polypropylene mesh (STM) through a needle-less single-incision technique for treating stress urinary incontinence (SUI), aiming to decrease the cost of treatment, which is important in developing countries. PATIENTS AND METHODS: In all, 43 women diagnosed using a cough stress test were treated from January 2011 to June 2013 at the Urology and Gynaecology Departments (dual-centre), Cairo University Hospitals. Previous surgery was not a contra-indication. Patients with a postvoid residual urine volume of >100 mL, a bladder capacity of <300 mL, impaired compliance or neurological lesions were excluded. The Stress and Urge incontinence Quality of life Questionnaire (SUIQQ) and urodynamic variables were compared before and after surgery. The variables were compared between the baseline and postoperative follow-up values using a paired t-test, a Wilcoxon signed-rank test or McNemar's test. RESULTS: The mean age was 42.7 years and 20 (47%) patients had associated urgency UI (UUI), whilst 21 (49%) had intrinsic sphincter deficiency. The median (range) operative duration was 14 (5-35) min. There were no complications during surgery. The mean (SD, range) follow-up was 28.1 (5.1, 18-36) months. Postoperative complications were vaginal discharge (5%), failure of wound healing (5%), dyspareunia (5%) and UTI (5%). The sling was removed in one case. SUI, UUI and quality-of-life indices improved significantly after surgery. There were no significant differences in pressure-flow studies before and after surgery. In all, 38 (88%) patients were cured, four (9%) improved and in one only the treatment failed (2%). CONCLUSION: This technique is simple, safe, effective, reproducible and economical for treating SUI. The STM was easy to insert in a short operation. SN - 2090-598X UR - https://www.unboundmedicine.com/medline/citation/26413346/Use_of_surgeon_tailored_polypropylene_mesh_as_a_needle_less_single_incision_sling_for_treating_female_stress_urinary_incontinence:_Preliminary_results_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S2090-598X(15)00064-9 DB - PRIME DP - Unbound Medicine ER -
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