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

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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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Acknowledgements

Conflicts of interest

None.

Contribution to the manuscript

J. Dias: project development, data collection, data analysis, manuscript writing.

L. Xambre: project development, data management, manuscript editing.

L. Costa: manuscript editing.

P. Costa: data collection.

L. Ferraz: manuscript editing.

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Authors and Affiliations

  1. Urology Department, Centro Hospitalar Vila Nova de Gaia/Espinho, EPE, Rua Conceição Fernandes, 4434-502, Vila Nova de Gaia, Portugal

    Jorge Dias, Luís Xambre, Luís Costa, Pedro Costa & Luís Ferraz

Authors
  1. Jorge Dias
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  2. Luís Xambre
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  3. Luís Costa
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  4. Pedro Costa
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  5. Luís Ferraz
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Corresponding author

Correspondence to Jorge Dias.

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Dias, J., Xambre, L., Costa, L. et al. Short-term outcomes of Altis® single-incision sling procedure for stress urinary incontinence: a prospective single-center study. Int Urogynecol J 25, 1089–1095 (2014). https://doi.org/10.1007/s00192-014-2355-4

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  • DOI: https://doi.org/10.1007/s00192-014-2355-4

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