Abdel-Fattah, M., Agur, W., Abdel-All, M., Guerrero, K., Allam, M., Mackintosh, A., Mostafa, A. and Yousef, M. (2012) Prospective multi-centre study of adjustable single-incision mini-sling (Ajust®) in the management of stress urinary incontinence in women: 1-year follow-up study. BJU International, 109(6), pp. 880-886. (doi: 10.1111/j.1464-410X.2011.10471.x)
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Publisher's URL: http://dx.doi.org/10.1111/j.1464-410X.2011.10471.x
Abstract
OBJECTIVES • To determine whether an adjustable single-incision mini-sling (SIMS, Ajust®) is safe and effective in the management of female stress urinary incontinence (SUI) at 12 months follow-up. • To determine whether it is feasible to be performed under local anesthesia (LA). MATERIALS AND METHODS • The present study is a multicentre prospective cohort study in which 90 female patients underwent SIMS-Ajust® using a standardized insertion technique. • The last 45 women were offered the procedure under LA. • All patients completed their 12-month follow-up. RESULTS • The patient-reported success rate, using Patient Global Impression of Improvement (PGI-I), was 80% at 12 months follow-up and a further 6% (n= 5) reported themselves to be ‘improved’. • In all, 32/45 (71%) patients agreed to undergo the procedure under LA while one patient required conversion to general anaesthetic. • There was no organ damage or requirement for blood transfusion. • Significantly lower rates of blood loss (P= 0.025) and postoperative voiding difficulties (P= 0.026) were seen in the LA group. • The re-operation rate for SUI was 6% at 12 months. CONCLUSIONS • SIMS (Ajust) appears to be a safe procedure, which is feasible under LA. • SIMS (Ajust) have an 80% patient-reported success rate at 12 months follow-up.
Item Type: | Articles |
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Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Allam, Dr Mohamed and Agur, Dr Wael |
Authors: | Abdel-Fattah, M., Agur, W., Abdel-All, M., Guerrero, K., Allam, M., Mackintosh, A., Mostafa, A., and Yousef, M. |
College/School: | College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing |
Journal Name: | BJU International |
Publisher: | Wiley |
ISSN: | 1464-4096 |
ISSN (Online): | 1464-410X |
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