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

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
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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