Henry de Villeneuve M, Boualaoui I, El Kharroubi A, Droupy S, Wagner L
Service urologie, CHU de Nîmes, 4, rue du Professeur-Robert-Debré, 30029 Nimes, France.
Service urologie, CHU de Nîmes, 4, rue du Professeur-Robert-Debré, 30029 Nimes, France.
Prog Urol. 2020 May;30(6):346-352. doi: 10.1016/j.purol.2020.03.007. Epub 2020 May 1.
Midurethral slings are the main surgical treatment of stress urinary incontinence. Altis is a minimally invasive single-incision sling system. The aim of this study is to report the safety and efficacity results during a year of follow up.
This single-centre and retrospective study has been performed in a university hospital, between February 2015 and May 2018. We included women aged more than 18, complaining a stress urinary incontinence with a urethral hypermobility and positive support maneuvers, who had failed from non surgical treatment. A prospective data collection has been done at the moment of inclusion, peroperative time, at 6 weeks, 6 months and a year after the procedure. The main evaluation criteria was the cure rate at twelve months.
Thirty patients were included in our study. The mean age was 45,4±12,9 years old, the mean ICIQ-UI score was 13,5±4,06 and the median pad test was at 12g. Ninety three percent of the procedures were done as ambulatory surgery. The average operating time was at 22,2minutes. Overall, 75% of our patients were objectively cured and 14,2% were in fail of this treatment.
The short term results show a good efficacity and safety of this procedure. But its place remains to be defined in relation to other techniques, TVT, TOT and non-prosthetic techniques.
中段尿道吊带术是压力性尿失禁的主要外科治疗方法。Altis是一种微创单切口吊带系统。本研究的目的是报告一年随访期间的安全性和有效性结果。
本单中心回顾性研究于2015年2月至2018年5月在一家大学医院进行。我们纳入了年龄超过18岁、因尿道活动过度和阳性支持试验而患有压力性尿失禁且非手术治疗失败的女性。在纳入时、手术期间、术后6周、6个月和1年进行了前瞻性数据收集。主要评估标准是术后12个月的治愈率。
我们的研究纳入了30例患者。平均年龄为45.4±12.9岁，平均ICIQ-UI评分为13.5±4.06，中位护垫试验为12克。93%的手术为日间手术。平均手术时间为22.2分钟。总体而言，75%的患者客观上治愈，14.2%的患者治疗失败。
短期结果显示该手术具有良好的有效性和安全性。但其与其他技术（TVT、TOT和非假体技术）相比的地位仍有待确定。
3级。
