Pages-Garcia Cristina, Pellicer-Iborra Begona, Coret-Cebamanos Maria, Fuentes-Aparicio Laura
Department of Obstetrics and Gynecology HM IMI Clinic, Toledo, Spain.
Department of Paediatrics, Professor in Obstetrics and Gynaecology, Faculty of Medicine, University of Valencia, Valencia, Spain.
Gynecol Obstet Invest. 2025 May 14:1-9. doi: 10.1159/000546004.
Stress urinary incontinence (SUI) commonly affects women's quality of life. The widespread recommendation of using non-absorbable meshes has delayed a more definitive surgical solution. Newer, less invasive biomaterial treatments show promise.
Our aim was to describe and evaluate a new urethral suspension technique called "shore-up," performed with APTOS® resorbable tensor threads on an outpatient procedure.
A pilot study was conducted.
32 SUI women, unresponsive to conservative treatment, participated in the study.
The study was conducted at the HM IMI Clinic, Toledo, Spain.
Patients completed validated incontinence questionnaires (Sandvik and ISCQ SF) before and at 1, 2, 6, and 12 months post-procedure. A blinded analysis of results was conducted.
Women with SUI of different degrees: mild (3/32), moderate (19/32), severe (8/32), and very severe (2/32) showed a significant improvement (p < 0.05) in scores on both tests. After 12 months, a success rate of 72% (23/32) without SUI was observed, 16% with mild (5/32) and 12% with moderate SUI (4/32). None of them required hospitalization or post-surgical assistance, and the most frequent complications were extrusion of the final thread end through the vagina in 33% (9/32), transient dyspareunia in 6% (4/31), and early suture dehiscence in 6% (2/32).
The shore-up technique is a promising, minimally invasive option for managing SUI, offering high efficacy, safety, and patient satisfaction.
This is a small study, and further research is recommended to confirm these findings (ethic code 23.02.2155-GHM).
压力性尿失禁（SUI）常影响女性生活质量。广泛推荐使用不可吸收网片延迟了更确切的手术解决方案。更新的、侵入性较小的生物材料治疗显示出前景。
我们的目的是描述和评估一种名为“支撑”的新尿道悬吊技术，该技术在门诊手术中使用APTOS®可吸收张量线进行。
进行了一项试点研究。
32名对保守治疗无反应的SUI女性参与了该研究。
该研究在西班牙托莱多的HM IMI诊所进行。
患者在术前以及术后1、2、6和12个月完成经过验证的尿失禁问卷（桑德维克问卷和ISCQ SF问卷）。对结果进行了盲法分析。
不同程度SUI的女性：轻度（3/32）、中度（19/32）、重度（8/32）和极重度（2/32）在两项测试中的得分均有显著改善（p < 0.05）。12个月后，观察到无SUI的成功率为72%（23/32），轻度SUI为16%（5/32），中度SUI为12%（4/32）。她们均无需住院或术后协助，最常见的并发症是最终线头从阴道穿出，发生率为33%（9/32），短暂性交困难发生率为6%（4/31），早期缝线裂开发生率为6%（2/32）。
支撑技术是一种有前景的、微创的SUI管理选择，具有高疗效、安全性和患者满意度。
这是一项小型研究，建议进一步研究以证实这些发现（伦理代码23.02.2155 - GHM）。
