Suburethral single incision slings in the treatment of female stress urinary incontinence: What is the evidence for using them in 2010?

• Tipo: Artigo em Revista Científica Internacional
• Data: 2011

Autores

Rui Oliveira (Autor) Outra; Carlos Silva (Autor) FMUP; Paulo Oliveira (Autor) FMUP; Francisco Cruz (Autor) FMUP

Revista

Título: Archivos Espanoles de Urologia

Vol. 64 Nº 4

Páginas: 339-346

ISSN: 0004-0614

Editora: Iniestares, S.A.

Indexação

Scopus - 13 Citações

Pubmed / Medline

Classificação Científica

FOS: Ciências médicas e da saúde > Medicina clínica

CORDIS: Ciências da Saúde > Ciências Médicas > Medicina > Urologia

Outras Informações

ID Authenticus: P-007-YBG

Abstract (EN): OBJECTIVES: To review the present evidence supporting the use of single-incision slings for treatment of female stress urinary incontinence. METHODS: A Pubmed search was performed using words as stress urinary incontinence, slings, single-incision slings, mini-sling, TVT-Secur ¿, MiniArc¿, TFS, Arcusto-Arcus ¿ and Ajust¿. This search was complemented by a review of the references from the papers found in the initial search. Only papers written in English, with a minimum of 30 cases and 6 months follow up were analyzed. RESULTS: Sixteen papers were found with the defined characteristics, 4 of them being comparative studies. Most studies include a low number of patients with follow-up not exceeding 12 months. Techniques are easy and seem to require a short learning curve, exception being TVT-Secur ¿. Operating time is short and complications are few and mild. Generally, results at 12 months are close to those reported after conventional slings. In two comparative studies Mini-Arc¿ was as effective as a transobturator comparator. However in two additional comparisons, single incision slings had worse outcomes than the conventional comparator. CONCLUSION: Some single-incision slings look promising in most series and even as effective as conventional sub-urethral slings at short term evaluation. However, no experience reported by independent authors can be found. Therefore, at this moment a clear statement in favor of the widespread use of single-incision slings cannot be made. More studies must define the efficacy of these techniques against conventional sub-urethral slings. In addition, comparisons among available single-incision slings should define one ideal model.

Idioma: Inglês

Tipo (Avaliação Docente): Científica