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Efficacy and Adverse Effects After Single-Incision Slings for Women with Stress Urinary Incontinence: A 12-Year Follow-Up

OBJECTIVE: Single-incision slings (SISs) are not considered the first surgical choice for stress urinary incontinence due to few data about long-term results. Our aim was to evaluate the outcomes of SISs 12 years after implantation and to search for consequences such as deterioration after a certain...

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Autores principales: Barba, Marta, Cola, Alice, Costa, Clarissa, Liberatore, Antonio, Frigerio, Matteo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10362859/
https://www.ncbi.nlm.nih.gov/pubmed/37483887
http://dx.doi.org/10.2147/IJWH.S410539
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author Barba, Marta
Cola, Alice
Costa, Clarissa
Liberatore, Antonio
Frigerio, Matteo
author_facet Barba, Marta
Cola, Alice
Costa, Clarissa
Liberatore, Antonio
Frigerio, Matteo
author_sort Barba, Marta
collection PubMed
description OBJECTIVE: Single-incision slings (SISs) are not considered the first surgical choice for stress urinary incontinence due to few data about long-term results. Our aim was to evaluate the outcomes of SISs 12 years after implantation and to search for consequences such as deterioration after a certain amount of time. METHODS: We included women with stress urinary incontinence both clinically and urodynamically proven who underwent SISs procedure. Objective and subjective cure rates were compared to short-term outcomes to detect possible deterioration over time. RESULTS: A total of 85 patients were analysed with a median follow-up of 12.0 (IQR 10.4–12.8) years. Objective and subjective cure rates were 81.0% and 82.1%, respectively. Median (IQR) PGI-I scores and ICIQ-SF, respectively, were 1 (1–2) and 0 (0–6.8). No significant deterioration of outcomes over time was shown after comparison between short-term and long-term follow-ups (objective cure rate 84.5% vs 81.0%, p=0.684; subjective cure rates 92.9% vs 82.1%, p=0.060). Also, voiding symptoms and overactive bladder did not differ over time (20.2% vs 21.4%, p=1.000; 20.2% vs 33.3%, p=0.080, respectively). CONCLUSION: SISs were shown to be a procedure with a great efficacy and safety profile at very long-term follow-up.
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spelling pubmed-103628592023-07-23 Efficacy and Adverse Effects After Single-Incision Slings for Women with Stress Urinary Incontinence: A 12-Year Follow-Up Barba, Marta Cola, Alice Costa, Clarissa Liberatore, Antonio Frigerio, Matteo Int J Womens Health Original Research OBJECTIVE: Single-incision slings (SISs) are not considered the first surgical choice for stress urinary incontinence due to few data about long-term results. Our aim was to evaluate the outcomes of SISs 12 years after implantation and to search for consequences such as deterioration after a certain amount of time. METHODS: We included women with stress urinary incontinence both clinically and urodynamically proven who underwent SISs procedure. Objective and subjective cure rates were compared to short-term outcomes to detect possible deterioration over time. RESULTS: A total of 85 patients were analysed with a median follow-up of 12.0 (IQR 10.4–12.8) years. Objective and subjective cure rates were 81.0% and 82.1%, respectively. Median (IQR) PGI-I scores and ICIQ-SF, respectively, were 1 (1–2) and 0 (0–6.8). No significant deterioration of outcomes over time was shown after comparison between short-term and long-term follow-ups (objective cure rate 84.5% vs 81.0%, p=0.684; subjective cure rates 92.9% vs 82.1%, p=0.060). Also, voiding symptoms and overactive bladder did not differ over time (20.2% vs 21.4%, p=1.000; 20.2% vs 33.3%, p=0.080, respectively). CONCLUSION: SISs were shown to be a procedure with a great efficacy and safety profile at very long-term follow-up. Dove 2023-07-18 /pmc/articles/PMC10362859/ /pubmed/37483887 http://dx.doi.org/10.2147/IJWH.S410539 Text en © 2023 Barba et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Barba, Marta
Cola, Alice
Costa, Clarissa
Liberatore, Antonio
Frigerio, Matteo
Efficacy and Adverse Effects After Single-Incision Slings for Women with Stress Urinary Incontinence: A 12-Year Follow-Up
title Efficacy and Adverse Effects After Single-Incision Slings for Women with Stress Urinary Incontinence: A 12-Year Follow-Up
title_full Efficacy and Adverse Effects After Single-Incision Slings for Women with Stress Urinary Incontinence: A 12-Year Follow-Up
title_fullStr Efficacy and Adverse Effects After Single-Incision Slings for Women with Stress Urinary Incontinence: A 12-Year Follow-Up
title_full_unstemmed Efficacy and Adverse Effects After Single-Incision Slings for Women with Stress Urinary Incontinence: A 12-Year Follow-Up
title_short Efficacy and Adverse Effects After Single-Incision Slings for Women with Stress Urinary Incontinence: A 12-Year Follow-Up
title_sort efficacy and adverse effects after single-incision slings for women with stress urinary incontinence: a 12-year follow-up
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10362859/
https://www.ncbi.nlm.nih.gov/pubmed/37483887
http://dx.doi.org/10.2147/IJWH.S410539
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