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Khafagy W, ElBassioune W, Rady M, Farouk E, Elhelw E, Saeed A, Mahmoud A, Abuelmatti H, Elsheikh A, Mahmoud M, Hussein M, Zaky A, Abdeltawab A, Ali S, Altoraky M, Hegazy M, Almorsy A, Alghazaly M, Rehan M, Elnady E, Khater S, Mahmoud A, Elsayed A, Deif H. A new promising approach to urodynamic stress urinary incontinence care can help menopausal women. Prz Menopauzalny 2023; 22:121-125. [PMID: 37829269 PMCID: PMC10566331 DOI: 10.5114/pm.2023.131058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Accepted: 10/15/2022] [Indexed: 10/14/2023]
Abstract
Introduction The goal of this study is to evaluate the effectiveness of single-incision mini-sling in the surgical treatment of postmenopausal urodynamic stress urinary incontinence (SUI) compared to the standard trans-obturator mid-urethral sling. Material and methods This prospective study was carried out in two tertiary centres; Al-Azhar University Maternity & Urology Hospitals. A total of 120 postmenopausal women with urodynamic SUI were randomized to undergo either single-incision mini-sling (n = 60) or standard trans-obturator mid-urethral sling procedure (n = 60) from May 2019 until Oct 2021. Main outcome measures: efficacy was evaluated utilizing objective cure rate (cough stress test) and subjective cure rate (Sandvik incontinence severity index and International Consultations on Incontinence Questionnaire - Short Form), intraoperative and postoperative complications, and postoperative pain (using a visual analogue scale). Results The single-incision mini-sling (SIMS) and transobturator tape (TOT) groups had no statistically significant difference in subjective and objective cure rates (p > 0.05). Compared with the transvaginal tape O group, patients in the SIMS group had significantly less postoperative pain, shorter operative duration, and less intraoperative blood loss (all p-values < 0.05). No significant difference in perioperative complications was observed between both groups. Conclusions Single-incision mini-sling was superior to TOT in postmenopausal as SIMS is of similar effectiveness, more safe and minimally invasive with earlier ambulance.
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Affiliation(s)
- Wael Khafagy
- Department of Obstetrics and Gynaecology, Al-Azhar University, Al-Azhar, Egypt
| | - Walaa ElBassioune
- Department of Obstetrics and Gynaecology, Al-Azhar University, Al-Azhar, Egypt
| | - Mahmoud Rady
- Department of Obstetrics and Gynaecology, Al-Azhar University, Al-Azhar, Egypt
| | - Elmetwally Farouk
- Department of Obstetrics and Gynaecology, Al-Azhar University, Al-Azhar, Egypt
| | - Ehab Elhelw
- Department of Obstetrics and Gynaecology, Al-Azhar University, Al-Azhar, Egypt
| | - Ahmed Saeed
- Department of Obstetrics and Gynaecology, Al-Azhar University, Al-Azhar, Egypt
| | - Ahmed Mahmoud
- Department of Obstetrics and Gynaecology, Al-Azhar University, Al-Azhar, Egypt
| | - Hamada Abuelmatti
- Department of Obstetrics and Gynaecology, Al-Azhar University, Al-Azhar, Egypt
| | - Ahmed Elsheikh
- Department of Obstetrics and Gynaecology, Al-Azhar University, Al-Azhar, Egypt
| | - Mohamed Mahmoud
- Department of Obstetrics and Gynaecology, Al-Azhar University, Al-Azhar, Egypt
| | - Mohammed Hussein
- Department of Obstetrics and Gynaecology, Al-Azhar University, Al-Azhar, Egypt
| | - Ahmed Zaky
- Department of Obstetrics and Gynaecology, Al-Azhar University, Al-Azhar, Egypt
| | - Ahmed Abdeltawab
- Department of Obstetrics and Gynaecology, Al-Azhar University, Al-Azhar, Egypt
| | - Soliman Ali
- Department of Obstetrics and Gynaecology, Al-Azhar University, Al-Azhar, Egypt
| | - Muhammad Altoraky
- Department of Obstetrics and Gynaecology, Al-Azhar University, Al-Azhar, Egypt
| | - Mahmoud Hegazy
- Department of Obstetrics and Gynaecology, Al-Azhar University, Al-Azhar, Egypt
| | - Ahmed Almorsy
- Department of Obstetrics and Gynaecology, Al-Azhar University, Al-Azhar, Egypt
| | - Moatazza Alghazaly
- Department of Obstetrics and Gynaecology, Al-Azhar University, Al-Azhar, Egypt
| | - Mohamed Rehan
- Department of Urology, Al-Azhar University, Al-Azhar, Egypt
| | - Esam Elnady
- Department of Urology, Al-Azhar University, Al-Azhar, Egypt
| | - Saed Khater
- Department of Urology, Al-Azhar University, Al-Azhar, Egypt
| | - Alaa Mahmoud
- Department of Urology, Al-Azhar University, Al-Azhar, Egypt
| | - Ahmed Elsayed
- Department of Urology, Al-Azhar University, Al-Azhar, Egypt
| | - Hazem Deif
- Department of Urology, Al-Azhar University, Al-Azhar, Egypt
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Smažinka M, Švabík K, Hubka P, Haddad El R, Mašata J. [Comparison of quality of life of patients treated for SUI by surgical approaches AJUST and TVT-O - a 3-month results from randomized trial]. Ceska Gynekol 2015; 80:196-203. [PMID: 26087214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
OBJECTIVE The aim of this study is to compare quality of life in 3-month follow-up after the use of transobturator tape TVT-O and single incision tape AJUST in the treatment of urodynamic stress urinary incontinence (USI). DESIGN Randomized trial. SETTING Gynekologicko-porodnická klinika LF UK a FN Plzeň, Gynekologicko-porodnická klinika 1. LF UK a VFN Praha. MATERIALS AND METHODS Between May 2010 and May 2012 100 women with proven urodynamic stress urinary incontinence were included in this randomized trial. These patients were randomly chosen and devided into two group: 50 patients for TVT-O procedure and 50 patients for AJUST procedure. All of the patients underwent a complete urogynecological examination prior to the actual procedure (clinical examination, urodynamic examination, ultrasound examination) and filled in ICIQ-SF and iQol questionnaires. After the surgery, the patients satisfaction was evaluated by visual analoque scale (VAS) and Likert scale and by ICIQ-SF and iQol questionnaires. The intensity and length of postoperative pain was monitored using the visual analogue scale. The patients underwent an examination after 3 months. RESULTS In both groups of participants no significant differences regarding age, BMI, parity, history of surgery for gynecological disorders, were found. Preoperative urodynamic, ICIQ-SF and iQol parameters were also not significantly different. In the 3-month follow-up 48 participants from TVT-O group and 50 participants from the AJUST group were monitored. No statistically significant differences in subjective and objective parameters were found. Subjectively stress incontinence was not present in 97.9% in the TVT-O and 96.0% in the group AJUST. Objectively stress test was negative in 93.8% in the TVT-O and 94% in group AJUST. By evaluating the ICIQ and iQol were found no statistical differences in the quality of life in both operating groups. CONCLUSION At 3-months follow up we did not find any statistical difference between subjective and objective outcome for single incision tape AJUST and TVT-O. In the AJUST group lower intensity and shorter duration of postoperative pain were observed.
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