Preliminary report of post-Ophira mini sling implantation voiding pattern: What to learn from pressure-flow studies?
| Autor: | Gon LM; Division of Female Urology, University of Campinas (UNICAMP), Campinas, Brazil., Andrade DL; Division of Female Urology, University of Campinas (UNICAMP), Campinas, Brazil., Palma P; Division of Female Urology, University of Campinas (UNICAMP), Campinas, Brazil., Reis LO; UroScience, University of Campinas (UNICAMP) and Pontifical Catholic University of Campinas (PUC-Campinas), Campinas, Brazil., Riccetto CLZ; Division of Female Urology, University of Campinas (UNICAMP), Campinas, Brazil. |
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| Jazyk: | angličtina |
| Zdroj: | Current urology [Curr Urol] 2021 Sep; Vol. 15 (3), pp. 181-184. Date of Electronic Publication: 2021 May 20. |
| DOI: | 10.1097/CU9.0000000000000026 |
| Abstrakt: | Background: The study is amined to correlate the voiding pattern after successful mini sling Ophira implantation with postoperative symptoms and satisfaction, in addition to identifying obstructions. Materials and Methods: From 2012 to 2015 in a single institution, all consecutive patients who had stress urinary incontinence treated by using the mini sling Ophira had a pre- and 12 months postoperative urodynamic test. The International Consultation on Incontinence Questionnaire - Urinary Incontinence - Short Form (ICIQ-UI-SF) and the International Consultation on Incontinence Questionnaire - Overactive Bladder (ICIQ-OAB) translated into Portuguese, were given. Patients were objectively considered cured when presenting no urinary incontinence at the Valsalva test and subjectively cured when the ICIQ-UI-SF was zero. Results: Questionnaire scores were obtained from 29 patients and urodynamic data from 20 patients. Mini sling Ophira implantation resulted in a significant improvement of urinary symptoms evidenced by a significant mean reduction in ICIQ-UI-SF from 16 to 5 ( p < 0.0001) and ICIQ-OAB from 8 to 4 ( p = 0.0001). The subjective and objective cure rates were 55% and 45%, respectively. The urodynamic changes were not related to success even when adjusted for age, hormonal status, or anterior pelvic organ prolapse. The mean maximum flow decreased to 4.9 mL/s (95% CI: 0.62-10.8; p = 0.035), and the mean detrusor pressure at maximum flow increased to 11.4 cmH Conclusions: Mini sling Ophira implantation decreased maximum urinary flow and increased the detrusor pressure at the maximum urinary flow and these urodynamic changes were not related to success. Competing Interests: The authors report no conflicts of interest. (Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc.) |
| Databáze: | MEDLINE |
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