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[Mini-sling versus transobturator sling: Efficiency and morbidity].
Gynecol Obstet Fertil Senol. 2018 11; 46(10-11):673-680.GO

Abstract

OBJECTIVE

To compare the effectiveness of an ALTIS® mini-sling and a conventionnal suburethral sling TVT-ABBREVO® for treatment of female stress urinary incontinence.

METHODS

A single-center retrospective study included all female patients fitted with a conventional transobturator tape (TVT-ABBREVO®) or mini-sling (ALTIS®), during 2015, in Angers university hospital. The success rate was defined by no urine leakage during a cough test on clinical examination, improved quality of life defined by a PGI-I (Patient Global Impression of Improvement) score of 1 to 3, and no stress urinary incontinence on USP (Urinary Symptom Profile) questionnaire. Morbidity associated with slings and perioperative data were also recorded.

RESULTS

Ninety-two patients were included (39 in the ALTIS group and 53 in the ABBREVO group). The average follow-up was 13.55 months. The success rate was not significantly different in ALTIS group for the negative cough test (89.7% vs 94.3% in ABBREVO group, P=0.45), for the absence of urinary leakage reported on the USP questionnaire (87.2% vs 90.6% in ABBREVO group, P=0.61), or for the improvement of the quality of life with a PGI-I score between 1 and 3 (82.1% vs 86.8% in ABBREVO group, P=0.53). On the other hand, more patients were fully satisfied, with a PGI-I quality of life score of 1, in ABBREVO group than in ALTIS group (67.9% compared with 46.2%, P=0.03). Immediate postoperative pain was significantly less intense in ALTIS group than in ABBREVO group (average VAS score of 0.5 comparated with 1.3, P=0.01), but this difference had disappeared one week after surgery. The rates of other complications were similar in both groups.

CONCLUSION

The functional results of the ALTIS and TVT-ABBREVO® slings appear similar in the treatment of female stress urinary incontinence.

Authors+Show Affiliations

Service d'urologie, CHU Angers, 4, rue Larrey, 49100 Angers, France. Electronic address: pierregrison@free.fr.Service de gynécologie obstétrique, CHU Angers, 4, rue Larrey, 49100 Angers, France.Service de gynécologie obstétrique, CHU Angers, 4, rue Larrey, 49100 Angers, France.Service d'urologie, CHU Angers, 4, rue Larrey, 49100 Angers, France.Service de gynécologie obstétrique, CHU Angers, 4, rue Larrey, 49100 Angers, France.Service de gynécologie obstétrique, CHU Angers, 4, rue Larrey, 49100 Angers, France.

Pub Type(s)

Comparative Study
Journal Article

Language

fre

PubMed ID

30301618

Citation

Grison, P, et al. "[Mini-sling Versus Transobturator Sling: Efficiency and Morbidity]." Gynecologie, Obstetrique, Fertilite & Senologie, vol. 46, no. 10-11, 2018, pp. 673-680.
Grison P, Tixier S, Descamps P, et al. [Mini-sling versus transobturator sling: Efficiency and morbidity]. Gynecol Obstet Fertil Senol. 2018;46(10-11):673-680.
Grison, P., Tixier, S., Descamps, P., Bigot, P., Catala, L., & Legendre, G. (2018). [Mini-sling versus transobturator sling: Efficiency and morbidity]. Gynecologie, Obstetrique, Fertilite & Senologie, 46(10-11), 673-680. https://doi.org/10.1016/j.gofs.2018.09.008
Grison P, et al. [Mini-sling Versus Transobturator Sling: Efficiency and Morbidity]. Gynecol Obstet Fertil Senol. 2018;46(10-11):673-680. PubMed PMID: 30301618.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Mini-sling versus transobturator sling: Efficiency and morbidity]. AU - Grison,P, AU - Tixier,S, AU - Descamps,P, AU - Bigot,P, AU - Catala,L, AU - Legendre,G, Y1 - 2018/10/06/ PY - 2018/07/30/received PY - 2018/10/12/pubmed PY - 2019/3/5/medline PY - 2018/10/11/entrez KW - Bandelette sous urétrale KW - Bandelette à incision unique KW - Incontinence urinaire d’effort KW - Mid-urethral sling KW - Mini sling KW - Mini-bandelette KW - Quality of life KW - Qualité de vie KW - Single-incision sling KW - Stress urinary incontinence KW - Transobturator sling KW - Voie transobturatrice SP - 673 EP - 680 JF - Gynecologie, obstetrique, fertilite & senologie JO - Gynecol Obstet Fertil Senol VL - 46 IS - 10-11 N2 - OBJECTIVE: To compare the effectiveness of an ALTIS® mini-sling and a conventionnal suburethral sling TVT-ABBREVO® for treatment of female stress urinary incontinence. METHODS: A single-center retrospective study included all female patients fitted with a conventional transobturator tape (TVT-ABBREVO®) or mini-sling (ALTIS®), during 2015, in Angers university hospital. The success rate was defined by no urine leakage during a cough test on clinical examination, improved quality of life defined by a PGI-I (Patient Global Impression of Improvement) score of 1 to 3, and no stress urinary incontinence on USP (Urinary Symptom Profile) questionnaire. Morbidity associated with slings and perioperative data were also recorded. RESULTS: Ninety-two patients were included (39 in the ALTIS group and 53 in the ABBREVO group). The average follow-up was 13.55 months. The success rate was not significantly different in ALTIS group for the negative cough test (89.7% vs 94.3% in ABBREVO group, P=0.45), for the absence of urinary leakage reported on the USP questionnaire (87.2% vs 90.6% in ABBREVO group, P=0.61), or for the improvement of the quality of life with a PGI-I score between 1 and 3 (82.1% vs 86.8% in ABBREVO group, P=0.53). On the other hand, more patients were fully satisfied, with a PGI-I quality of life score of 1, in ABBREVO group than in ALTIS group (67.9% compared with 46.2%, P=0.03). Immediate postoperative pain was significantly less intense in ALTIS group than in ABBREVO group (average VAS score of 0.5 comparated with 1.3, P=0.01), but this difference had disappeared one week after surgery. The rates of other complications were similar in both groups. CONCLUSION: The functional results of the ALTIS and TVT-ABBREVO® slings appear similar in the treatment of female stress urinary incontinence. SN - 2468-7189 UR - https://www.unboundmedicine.com/medline/citation/30301618/[Mini_sling_versus_transobturator_sling:_Efficiency_and_morbidity]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S2468-7189(18)30251-4 DB - PRIME DP - Unbound Medicine ER -