Gold Ronen S, Neuman Jonatan, Neuman Menahem, Groutz Asnat
Urogynecology Unit, Department of Obstetrics and Gynecology, Lis Women Hospital, Tel Aviv Medical Center, Tel Aviv University Medical School, Tel Aviv 6423906, Israel.
Medical School, Semmelweis University, 1085 Budapest, Hungary.
J Clin Med. 2025 May 20;14(10):3572. doi: 10.3390/jcm14103572.
To assess the long-term safety and efficacy of the Serasis inside-out transobturator midurethral sling (MUS), a partially absorbable soft tape for stress urinary incontinence (SUI). A cohort study of 146 consecutive women who underwent the Serasis MUS procedure from January 2013 to January 2014 was investigated. All patients had SUI as the main complaint. Patients with predominant urgency urinary incontinence (UUI) and stage III-IV pelvic organ prolapse were excluded. Clinical, intraoperative, and postoperative data were retrospectively retrieved from a computerized database. At 10 years postoperatively, a follow-up telephone survey was conducted. The patients were interviewed regarding tape-related complications, repeated SUI surgery, and decision regret or satisfaction. All patients underwent the Serasis MUS procedure, most of whom also had concomitant colporrhaphies. The mean duration of surgery was 26.03 min, and the mean blood loss was 32.4 cc. All patients were discharged within a few hours after surgery or on the following day. No significant intraoperative or early postoperative complications were reported. Overall, 107 (73.3%) patients were available for the 10-year follow-up, 17 (15.9%) of whom reported symptoms of SUI, but only half of them underwent a repeated MUS. The rate of tape erosion was 1.9%, and no symptoms of tape-related pain were reported. Additionally, 10.3% of the patients were categorized as a subjective failure, most of whom considered persistent UUI as the main reason for dissatisfaction. The long-term outcomes of the transobturator Serasis MUS, a partially absorbable soft tape, are favorable and are associated with significantly fewer tape-related complications.
为评估用于治疗压力性尿失禁（SUI）的部分可吸收软性胶带Serasis经闭孔中尿道吊带术（MUS）的长期安全性和有效性。对2013年1月至2014年1月连续接受Serasis MUS手术的146名女性进行了一项队列研究。所有患者均以SUI为主诉。排除以急迫性尿失禁（UUI）为主及III-IV期盆腔器官脱垂的患者。从计算机数据库中回顾性检索临床、术中及术后数据。术后10年进行了随访电话调查。就与吊带相关的并发症、再次进行SUI手术以及决策后悔或满意度对患者进行了访谈。所有患者均接受了Serasis MUS手术，其中大多数还同时进行了阴道修补术。平均手术时间为26.03分钟，平均失血量为32.4毫升。所有患者均在术后数小时内或次日出院。未报告明显的术中或术后早期并发症。总体而言，107例（73.3%）患者完成了10年随访，其中17例（15.9%）报告有SUI症状，但只有一半患者再次接受了MUS手术。吊带侵蚀率为1.9%，未报告与吊带相关的疼痛症状。此外，10.3%的患者被归类为主观失败，其中大多数认为持续性UUI是不满的主要原因。经闭孔Serasis MUS这种部分可吸收软性胶带的长期效果良好，且与吊带相关并发症显著减少相关。
