INTRODUCTION AND HYPOTHESIS:Data on the Ajust™, a new single-incision sling procedure for female stress urinary incontinence (SUI) management, remain scarce and limited to a 1-year follow-up.
Our goal was to assess the efficacy of this procedure after a 1-year follow-up.
METHODS: This prospective evaluation involved 95 consecutive patients implanted with AjustTMat a single centre. All patients had SUI on urodynamics due to urethral hypermobility, 33 % had preoperative overactive bladder (OAB) symptoms and none had detrusor overactivity. Ninety-two patients were treated on an outpatient basis, and 3 patients had general anaesthesia. Postoperative assessment was conducted at 1, 6, 12 months, and yearly thereafter. The main outcome measure was pad usage. Secondary parameters were self-reported SUI episodes, OAB symptoms, data of clinical examination, satisfaction using the Patient Global Impression of Improvement (PGI-I) scale, postoperative pain, and adverse events.
RESULTS:After a mean follow-up of 21 ± 6 months (12-32), 76 out of 95 patients used no pads or one dry security pad, showing a success rate of 80 %. Seventy-nine out of 95 patients had no more SUI-related leakage. Only 6 patients experienced late recurrence of SUI after 6 months' follow-up. Perioperative complications included 1 case of vaginal hematoma, 1 case of acute urinary retention, 2 cases of urinary tract infection, all managed conservatively. Half of the patients had no pain after day 1, free of medications. Late complications were vaginal erosion in 1 case, and pain during exertion in 2 cases.
CONCLUSIONS: The AjustTM single incision transobturator sling is a safe and effective procedure, with durable results after 1 year.
Written by:
Cornu JN, Peyrat L, Skurnik A, Ciofu C, Lucente VR, Haab F. Are you the author?
Department of Urology, Groupe Hospitalo-Universitaire EST, Assistance Publique-Hôpitaux de Paris (AP-HP), University Paris VI, Tenon Hospital, Paris, France.
Reference: Int Urogynecol J. 2012 Sep;23(9):1265-70.
doi: 10.1007/s00192-012-1740-0
PubMed Abstract
PMID: 22584919
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