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The Ibero-American experience with a re-adjustable minimally invasive sling.

Abstract：

OBJECTIVE:To report our experience with the Safyre (Promedon, Cordoba, Argentina), a new re-adjustable and minimally invasive sling for treating stress urinary incontinence (SUI), which combines the efficacy of slings with re-adjustability. PATIENTS AND METHODS:In all, 126 consecutive patients with a clinical and urodynamic diagnosis of SUI had a Safyre sling procedure (mean age 63 years, range 40-71). Seventy-six patients (60%) presented after previous failed anti-incontinence procedures; all had a physical and clinical examination, a stress test, urodynamic study and assessment of pad use before the surgery. All the patients presented with symptoms of SUI and 37 (29%) also reported mild urgency. RESULTS:The mean (range) follow-up was 18 (12-36) months, and the mean operative duration 25 min. Dystopia was repaired whenever necessary during the same procedure. The mean hospital stay was 24 h. In three implants (2%) the bladder was perforated. After surgery 26 patients (21%) developed urgency symptoms; during the follow-up 116 (92%) were continent, three (2%) reported an improvement and seven (6%) were dissatisfied. CONCLUSION:The Safyre is a safe and quick procedure that allows for postoperative readjustment; this technique may be an attractive alternative if the good results obtained so far prove to be durable.

journal_name

BJU Int

journal_title

BJU international

authors

Palma PC,Dambros M,Riccetto CZ,Thiel M,Netto NR Jr

doi

10.1111/j.1464-410X.2005.05295.x

keywords:

subject

Has Abstract

pub_date

2005-02-01 00:00:00

pages

341-5

issue

3

eissn

1464-4096

issn

1464-410X

pii

BJU5295

journal_volume

95

pub_type

临床试验,杂志文章,多中心研究

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