Qatawneh Ayman, Thekrallah Fidaa, Alaqqad Huda M, AlTayyar Maysa A, Ahmed Reem F, Ashour Tala O
Department of Gynecology and Obstetrics, School of Medicine, The University of Jordan, Amman 11942, Jordan.
School of Medicine, The University of Jordan, Amman 11942, Jordan.
J Clin Med. 2024 Aug 20;13(16):4908. doi: 10.3390/jcm13164908.
Stress urinary incontinence (SUI) affects around 35% of adult women and has a significant impact on quality of life. A single incision sling (SIS), such as Altis, was introduced to improve original slings and avoid complications. The present study aimed to evaluate the SIS Altis subjective and objective cure rates of women with SUI, mixed urinary incontinence (MUI), recurrent SUI, and SUI with concomitant prolapse and report its complications from one single medical center. A retrospective cohort, unsponsored study was conducted at the Jordan University Hospital. All women patients were treated with the SIS Altis procedure, and prolapse procedures were also completed as necessary. The chi square analysis for the cure rates was conducted between the subgroups. From June 2016 to June 2019, 111 women patients with a mean age of 48.0 ± 11.3 years underwent a SIS Altis procedure. The overall outcome resulted in 81% and 85% of patients being subjectively and objectively cured. The subjectively cured MUI patients were significantly fewer than SUI patients (70% versus 86%, < 0.05), and patients with recurrent SUI had significantly lower rates (56% for subjective and objective cure rates; < 0.01 and 0.001). Of the 44 patients who underwent SIS Altis and concomitant vaginal repair surgery, no significant differences in subjective and objective cure rates were observed. Only 2.7% of women had mild pain, 2.7% had vaginal tape erosion, and 9% had to be re-operated on. The Altis procedure is effective in women who suffer from SUI for a 19-month follow-up period. However, recurrent SUI patients had lower subjective and objective cure rates than primary SUI patients. Further research is needed with a larger sample size in a prospective study design to determine the effectiveness of single SIS in patients with recurrent SUI.
压力性尿失禁（SUI）影响着约35%的成年女性，对生活质量有重大影响。单切口吊带术（SIS），如Altis，被引入以改进原有的吊带术并避免并发症。本研究旨在评估SIS Altis对患有SUI、混合性尿失禁（MUI）、复发性SUI以及伴有脱垂的SUI女性的主观和客观治愈率，并报告来自单一医学中心的其并发症情况。在约旦大学医院进行了一项回顾性队列、无赞助研究。所有女性患者均接受SIS Altis手术，必要时也完成脱垂手术。对各亚组之间的治愈率进行卡方分析。2016年6月至2019年6月，111名平均年龄为48.0±11.3岁的女性患者接受了SIS Altis手术。总体结果显示，81%和85%的患者分别在主观和客观上得到治愈。主观治愈的MUI患者明显少于SUI患者（70%对86%，P<0.05），复发性SUI患者的治愈率明显较低（主观和客观治愈率分别为56%；P<0.01和0.001）。在接受SIS Altis及同期阴道修复手术的44例患者中，主观和客观治愈率未观察到显著差异。只有2.7%的女性有轻度疼痛，2.7%有阴道吊带侵蚀，9%需要再次手术。在为期19个月的随访期内，Altis手术对患有SUI的女性有效。然而，复发性SUI患者的主观和客观治愈率低于原发性SUI患者。需要在前瞻性研究设计中纳入更大样本量进行进一步研究，以确定单SIS对复发性SUI患者的有效性。
