Golbasi Ceren, Taner Cuneyt Eftal, Golbasi Hakan
Republic of Turkey, Ministry of Health University of Health Sciences Tepecik Education and Research Hospital, Turkey.
Republic of Turkey, Ministry of Health University of Health Sciences Tepecik Education and Research Hospital, Turkey.
Eur J Obstet Gynecol Reprod Biol. 2019 Mar;234:10-13. doi: 10.1016/j.ejogrb.2018.12.030. Epub 2019 Jan 6.
We aimed to evaluate the long-term outcomes and quality of life of patients who underwent single incision minisling (SIMS) procedure.
62 patients who were diagnosed with stress urinary incontinence (SUI) and received treatment with SIMS procedure (Ophira, Promedon, Argentina) were included in the study. Mean age was 50.73 ± 9.28 years and mean follow-up duration after surgery was 30.68 ± 7.52 months. Preoperative urological and gynecological features of the patients were recorded. Gynecological examination, pelvic ultrasonography, stress test, Q-tip test, cystometry were performed and incontinence and quality of life questionnaires (ICIQ-SF, IIQ-7, UDI-6, VAS-QOL, FSFI) were completed by all patients before and after the operation.
Stress urinary incontinence was observed in all patients during pre-op evaluations. 62 patients aged between 35-85 (mean age 50.73 ± 9.28) years were included and follow up duration ranged between 12-44 (average 30.68 ± 7.52) months. In regard to patient evaluations, 27 patients (43.5%) felt that the surgery was very effective, 25 (40.3%) felt surgery was effective and 10 (16.1%) did not report any difference after surgery. In the long-term postoperative follow up; 2 (3.2%) patients had dyspareunia and 7 (11.3%) patients had vaginal tape erosions which were diagnosed 2-40 months postoperatively. According to Q-tip test results, proximal urethral mobility was significantly decreased after surgery. All questionnaire scores were also significantly improved at post-operative evaluations. (P < 0.001) CONCLUSIONS: Our study confirmed that the Ophira mini sling technique provided high subjective cure rate and improved symptoms and quality of life in patients with SUI. These results suggest that the single incision mini sling procedure is an advisable alternative to other surgical procedures due to its low complication rates and ease of learning and applying the procedure. This procedure also demonstrated excellent tolerability, minimal pain, low morbidity and increased quality of life scores, in ICIQ-SF, IIQ-7, UDI-6, VAS-QOL, FSFI.
我们旨在评估接受单切口迷你吊带术（SIMS）的患者的长期疗效和生活质量。
本研究纳入了62例被诊断为压力性尿失禁（SUI）并接受SIMS手术（Ophira，Promedon，阿根廷）治疗的患者。平均年龄为50.73±9.28岁，术后平均随访时间为30.68±7.52个月。记录患者术前的泌尿外科和妇科特征。所有患者在手术前后均进行妇科检查、盆腔超声检查、压力测试、Q-tip测试、膀胱测压，并完成失禁和生活质量问卷（ICIQ-SF、IIQ-7、UDI-6、VAS-QOL、FSFI）。
术前评估时所有患者均存在压力性尿失禁。纳入62例年龄在35 - 85岁（平均年龄50.73±9.28）的患者，随访时间为12 - 44个月（平均30.68±7.52个月）。关于患者评估，27例（43.5%）患者认为手术非常有效，25例（40.3%）患者认为手术有效，10例（16.1%）患者术后未报告有任何差异。在术后长期随访中，2例（3.2%）患者出现性交困难，7例（11.3%）患者出现阴道吊带侵蚀，均在术后2 - 40个月被诊断出来。根据Q-tip测试结果，术后近端尿道活动度显著降低。术后评估时所有问卷评分也均显著改善（P < 0.001）。结论：我们的研究证实，Ophira迷你吊带技术在SUI患者中提供了较高的主观治愈率，并改善了症状和生活质量。这些结果表明，单切口迷你吊带术因其低并发症发生率以及易于学习和应用，是其他手术方法的一个可取替代方案。该手术在ICIQ-SF、IIQ-7、UDI-6、VAS-QOL、FSFI方面还表现出了良好的耐受性、最小的疼痛、低发病率以及生活质量评分的提高。
