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What is the best indication for single-incision Ophira Mini Sling? Insights from a 2-year follow-up international multicentric study

INTRODUCTION AND HYPOTHESIS: The Ophira Mini Sling System involves anchoring a midurethral, low-tension tape to the obturator internus muscles bilaterally at the level of the tendinous arc. Success rates in different subsets of patients are still to be defined. This work aims to identify which facto...

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Detalles Bibliográficos
Autores principales: Palma, Paulo, Riccetto, Cassio, Bronzatto, Elaine, Castro, Rodrigo, Altuna, Sebastian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer London 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3997832/
https://www.ncbi.nlm.nih.gov/pubmed/24170223
http://dx.doi.org/10.1007/s00192-013-2242-4
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author Palma, Paulo
Riccetto, Cassio
Bronzatto, Elaine
Castro, Rodrigo
Altuna, Sebastian
author_facet Palma, Paulo
Riccetto, Cassio
Bronzatto, Elaine
Castro, Rodrigo
Altuna, Sebastian
author_sort Palma, Paulo
collection PubMed
description INTRODUCTION AND HYPOTHESIS: The Ophira Mini Sling System involves anchoring a midurethral, low-tension tape to the obturator internus muscles bilaterally at the level of the tendinous arc. Success rates in different subsets of patients are still to be defined. This work aims to identify which factors influence the 2-year outcomes of this treatment. METHODS: Analysis was based on data from a multicenter study. Endpoints for analysis included objective measurements: 1-h pad-weight (PWT), and cough stress test (CST), and questionnaires: International Consultation on Incontinence Questionnaire–Short Form (ICIQ-SF) and Urinary Distress Inventory (UDI)-6. A logistic regression analysis evaluated possible risk factors for failure. RESULTS: In all, 124 female patients with stress urinary incontinence (SUI) underwent treatment with the Ophira procedure. All patients completed 1 year of follow-up, and 95 complied with the 2-year evaluation. Longitudinal analysis showed no significant differences between results at 1 and 2 years. The 2-year overall objective results were 81 (85.3 %) patients dry, six (6.3 %) improved, and eight (8.4 %) incontinent. A multivariate analysis revealed that previous anti-incontinence surgery was the only factor that significantly influenced surgical outcomes. Two years after treatment, women with previous failed surgeries had an odds ratio (OR) for treatment failure (based on PWT) of 4.0 [95 % confidence interval (CI) 1.02–15.57). CONCLUSIONS: The Ophira procedure is an effective option for SUI treatment, with durable good results. Previous surgeries were identified as the only significant risk factor, though previously operated patients showed an acceptable success rate.
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spelling pubmed-39978322014-04-25 What is the best indication for single-incision Ophira Mini Sling? Insights from a 2-year follow-up international multicentric study Palma, Paulo Riccetto, Cassio Bronzatto, Elaine Castro, Rodrigo Altuna, Sebastian Int Urogynecol J Original Article INTRODUCTION AND HYPOTHESIS: The Ophira Mini Sling System involves anchoring a midurethral, low-tension tape to the obturator internus muscles bilaterally at the level of the tendinous arc. Success rates in different subsets of patients are still to be defined. This work aims to identify which factors influence the 2-year outcomes of this treatment. METHODS: Analysis was based on data from a multicenter study. Endpoints for analysis included objective measurements: 1-h pad-weight (PWT), and cough stress test (CST), and questionnaires: International Consultation on Incontinence Questionnaire–Short Form (ICIQ-SF) and Urinary Distress Inventory (UDI)-6. A logistic regression analysis evaluated possible risk factors for failure. RESULTS: In all, 124 female patients with stress urinary incontinence (SUI) underwent treatment with the Ophira procedure. All patients completed 1 year of follow-up, and 95 complied with the 2-year evaluation. Longitudinal analysis showed no significant differences between results at 1 and 2 years. The 2-year overall objective results were 81 (85.3 %) patients dry, six (6.3 %) improved, and eight (8.4 %) incontinent. A multivariate analysis revealed that previous anti-incontinence surgery was the only factor that significantly influenced surgical outcomes. Two years after treatment, women with previous failed surgeries had an odds ratio (OR) for treatment failure (based on PWT) of 4.0 [95 % confidence interval (CI) 1.02–15.57). CONCLUSIONS: The Ophira procedure is an effective option for SUI treatment, with durable good results. Previous surgeries were identified as the only significant risk factor, though previously operated patients showed an acceptable success rate. Springer London 2013-10-30 2014 /pmc/articles/PMC3997832/ /pubmed/24170223 http://dx.doi.org/10.1007/s00192-013-2242-4 Text en © The Author(s) 2013 https://creativecommons.org/licenses/by-nc/2.0/ Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Original Article
Palma, Paulo
Riccetto, Cassio
Bronzatto, Elaine
Castro, Rodrigo
Altuna, Sebastian
What is the best indication for single-incision Ophira Mini Sling? Insights from a 2-year follow-up international multicentric study
title What is the best indication for single-incision Ophira Mini Sling? Insights from a 2-year follow-up international multicentric study
title_full What is the best indication for single-incision Ophira Mini Sling? Insights from a 2-year follow-up international multicentric study
title_fullStr What is the best indication for single-incision Ophira Mini Sling? Insights from a 2-year follow-up international multicentric study
title_full_unstemmed What is the best indication for single-incision Ophira Mini Sling? Insights from a 2-year follow-up international multicentric study
title_short What is the best indication for single-incision Ophira Mini Sling? Insights from a 2-year follow-up international multicentric study
title_sort what is the best indication for single-incision ophira mini sling? insights from a 2-year follow-up international multicentric study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3997832/
https://www.ncbi.nlm.nih.gov/pubmed/24170223
http://dx.doi.org/10.1007/s00192-013-2242-4
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