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International Urogynecology Journal

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01-08-2014 | Original Article

Short-term outcomes of Altis® single-incision sling procedure for stress urinary incontinence: a prospective single-center study

Authors: Jorge Dias, Luís Xambre, Luís Costa, Pedro Costa, Luís Ferraz

Published in: International Urogynecology Journal | Issue 8/2014

Abstract

Introduction and hypothesis

Data on Altis® (Coloplast), a new adjustable single-incision sling (SIS) procedure for the treatment of female stress urinary incontinence (SUI), are scarce. Our aim was to evaluate the efficacy and complication rates of this procedure.

Methods

In this prospective observational study, a total of 52 women with SUI were implanted with an Altis® sling in an ambulatory setting. Before and after intervention (3, 6, and 12 months), women completed the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF). In addition, patients underwent a cough stress test at each evaluation and a post-voiding residual urine volume estimation at 3 months. The main outcomes measured were subjective cure (ICIQ-SF = 0), subjective improvement (ICIQ-SF >0 and < preoperative ICIQ-SF), and objective cure (negative cough stress test and no pad usage) rates. De novo overactive bladder (OAB) symptoms, changes in voiding habits and adverse events were also analyzed.

Results

The subjective cure rate at 12 months was 84.0 %, with an additional improvement rate of 8.0 %. The objective cure rate was 90.2 %. Later postoperative complications included 1 case of vaginal extrusion (requiring surgical removal of the eroded mesh segment), 3 cases of vaginal exposure of the adjustment thread (managed conservatively), de novo urgency in 3 patients, and mild dyspareunia in 2 patients.

Conclusions

The Altis® sling is a safe and effective SIS procedure for the treatment of SUI with a short-term follow-up.

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Title: Short-term outcomes of Altis® single-incision sling procedure for stress urinary incontinence: a prospective single-center study
Authors: Jorge Dias
Luís Xambre
Luís Costa
Pedro Costa
Luís Ferraz
Publication date: 01-08-2014
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 8/2014
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-014-2355-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Short-term outcomes of Altis® single-incision sling procedure for stress urinary incontinence: a prospective single-center study

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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