[女性压力性尿失禁的迷你吊带治疗：文献综述]

[Mini-sling for management of stress urinary incontinence in women: a literature review].

作者信息

Lizée D, Cornu J-N, Peyrat L, Ciofu C, Beley S, Haab F

机构信息

Service d'urologie, université Paris VI, hôpital Tenon, groupe hospitalo-universitaire Paris-Est, Assistance publique-Hôpitaux de Paris (AP-HP), 4, rue de la Chine, 75970 Paris cedex 20, France.

出版信息

Prog Urol. 2013 Sep;23(11):917-25. doi: 10.1016/j.purol.2013.07.008. Epub 2013 Aug 2.

DOI:10.1016/j.purol.2013.07.008

PMID:24010922

Abstract

AIM

To conduct a review about the use of single incision mini-slings (SIMS) to manage non-neurogenic stress urinary incontinence in women.

METHODS

Literature search in Pubmed/MEdline database until june 2013. TVT-Secur™ was excluded because this device is not anymore marketed.

RESULTS

Ajust™ and Mini-Arc™ were the two main SIMS evaluated in the literature. Studies about Mini-Arc™ generated heterogeneous results, with a success rate between 44% and 91% after 1 year. Ajust™ was the most promising device with 80% efficacy after mid-term follow-up. All evaluated SIMS had a low rate of immediate complications. Two randomized controlled trials comparing SIMS and traditional mid-urethral slings were identified, as well as one meta-analysis; they all concluded to non-superiority or inferiority for the mini-sling versus traditional slings.

CONCLUSION

Due to short follow-up, limited evidence and heterogeneous data, SIMS are not yet standard of care and further research is warranted.

摘要

目的

对单切口微型吊带（SIMS）用于治疗女性非神经源性压力性尿失禁的情况进行综述。

方法

在Pubmed/MEdline数据库中检索至2013年6月的文献。因TVT-Secur™已不再上市，故将其排除。

结果

Ajust™和Mini-Arc™是文献中评估的两种主要SIMS。关于Mini-Arc™的研究结果各异，1年后成功率在44%至91%之间。Ajust™是最具前景的器械，中期随访后有效率达80%。所有评估的SIMS即刻并发症发生率均较低。确定了两项比较SIMS与传统中段尿道吊带的随机对照试验以及一项荟萃分析；它们均得出微型吊带与传统吊带无优劣之分的结论。