What is the best indication for single-incision Ophira Mini Sling? Insights from a 2-year follow-up international multicentric study

dc.creatorPalma, P
dc.creatorRiccetto, C
dc.creatorBronzatto, E
dc.creatorCastro, R
dc.creatorAltuna, S
dc.date2014
dc.dateMAY
dc.date2014-07-30T19:02:50Z
dc.date2015-11-26T16:55:24Z
dc.date2014-07-30T19:02:50Z
dc.date2015-11-26T16:55:24Z
dc.date.accessioned2018-03-28T23:42:43Z
dc.date.available2018-03-28T23:42:43Z
dc.identifierInternational Urogynecology Journal. Springer London Ltd, v. 25, n. 5, n. 637, n. 643, 2014.
dc.identifier0937-3462
dc.identifier1433-3023
dc.identifierWOS:000335135900013
dc.identifier10.1007/s00192-013-2242-4
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/72848
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/72848
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1277097
dc.descriptionIntroduction and hypothesis The Ophira Mini Sling System involves anchoring a midurethral, low-tension tape to the obturator internus muscles bilaterally at the level of the tendinous arc. Success rates in different subsets of patients are still to be defined. This work aims to identify which factors influence the 2-year outcomes of this treatment. Methods Analysis was based on data froma multicenter study. Endpoints for analysis included objective measurements: 1-h pad-weight (PWT), and cough stress test (CST), and questionnaires: International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and Urinary Distress Inventory (UDI)-6. A logistic regression analysis evaluated possible risk factors for failure. Results In all, 124 female patients with stress urinary incontinence (SUI) underwent treatment with the Ophira procedure. All patients completed 1 year of follow-up, and 95 complied with the 2-year evaluation. Longitudinal analysis showed no significant differences between results at 1 and 2 years. The 2-year overall objective results were 81 (85.3 %) patients dry, six (6.3 %) improved, and eight (8.4 %) incontinent. A multivariate analysis revealed that previous anti-incontinence surgery was the only factor that significantly influenced surgical outcomes. Two years after treatment, women with previous failed surgeries had an odds ratio (OR) for treatment failure (based on PWT) of 4.0 [95 % confidence interval (CI) 1.02-15.57). Conclusions The Ophira procedure is an effective option for SUI treatment, with durable good results. Previous surgeries were identified as the only significant risk factor, though previously operated patients showed an acceptable success rate.
dc.description25
dc.description5
dc.description637
dc.description643
dc.languageen
dc.publisherSpringer London Ltd
dc.publisherLondon
dc.publisherInglaterra
dc.relationInternational Urogynecology Journal
dc.relationInt. Urogynecol. J.
dc.rightsfechado
dc.rightshttp://www.springer.com/open+access/authors+rights?SGWID=0-176704-12-683201-0
dc.sourceWeb of Science
dc.subjectMinisling
dc.subjectOphira procedure
dc.subjectSingle-incision sling
dc.subjectStress urinary incontinence
dc.subjectStress Urinary-incontinence
dc.subjectFree Vaginal Tape
dc.subjectWomen
dc.subjectManagement
dc.titleWhat is the best indication for single-incision Ophira Mini Sling? Insights from a 2-year follow-up international multicentric study
dc.typeArtículos de revistas


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