Barba Marta, Cola Alice, Costa Clarissa, Liberatore Antonio, Frigerio Matteo
Obstetric and Gynecology Department - University of Milano-Bicocca, Monza, Italy.
Gynecology Department, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Int J Womens Health. 2023 Jul 18;15:1077-1082. doi: 10.2147/IJWH.S410539. eCollection 2023.
Single-incision slings (SISs) are not considered the first surgical choice for stress urinary incontinence due to few data about long-term results. Our aim was to evaluate the outcomes of SISs 12 years after implantation and to search for consequences such as deterioration after a certain amount of time.
We included women with stress urinary incontinence both clinically and urodynamically proven who underwent SISs procedure. Objective and subjective cure rates were compared to short-term outcomes to detect possible deterioration over time.
A total of 85 patients were analysed with a median follow-up of 12.0 (IQR 10.4-12.8) years. Objective and subjective cure rates were 81.0% and 82.1%, respectively. Median (IQR) PGI-I scores and ICIQ-SF, respectively, were 1 (1-2) and 0 (0-6.8). No significant deterioration of outcomes over time was shown after comparison between short-term and long-term follow-ups (objective cure rate 84.5% vs 81.0%, =0.684; subjective cure rates 92.9% vs 82.1%, =0.060). Also, voiding symptoms and overactive bladder did not differ over time (20.2% vs 21.4%, =1.000; 20.2% vs 33.3%, =0.080, respectively).
SISs were shown to be a procedure with a great efficacy and safety profile at very long-term follow-up.
由于关于长期结果的数据较少，单切口吊带术（SISs）不被视为压力性尿失禁的首选手术方式。我们的目的是评估SISs植入12年后的结果，并寻找一段时间后恶化等后果。
我们纳入了经临床和尿动力学证实患有压力性尿失禁且接受了SISs手术的女性。将客观和主观治愈率与短期结果进行比较，以检测随时间可能出现的恶化情况。
共分析了85例患者，中位随访时间为12.0（四分位间距10.4 - 12.8）年。客观治愈率和主观治愈率分别为81.0%和82.1%。PGI - I评分中位数（四分位间距）和ICIQ - SF分别为1（1 - 2）和0（0 - 6.8）。短期和长期随访比较后未显示结果随时间有显著恶化（客观治愈率84.5%对81.0%，P = 0.684；主观治愈率92.9%对82.1%，P = 0.060）。此外，排尿症状和膀胱过度活动症随时间也无差异（分别为20.2%对21.4%，P = 1.000；20.2%对33.3%，P = 0.080）。
在非常长期的随访中，SISs显示出具有高效和安全的特点。
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