International Urogynecology Journal

, Volume 23, Issue 9, pp 1265–1270

Ajust single incision transobturator sling procedure for stress urinary incontinence: results after 1-year follow-up

  • Jean-Nicolas Cornu
  • Laurence Peyrat
  • Ariela Skurnik
  • Calin Ciofu
  • Vincent R. Lucente
  • Francois Haab
Original Article

DOI: 10.1007/s00192-012-1740-0

Cite this article as:
Cornu, JN., Peyrat, L., Skurnik, A. et al. Int Urogynecol J (2012) 23: 1265. doi:10.1007/s00192-012-1740-0

Abstract

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 AjustTM at 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.

Keywords

Stress urinary incontinence Outpatient Mini-invasive Single incision sling Prospective evaluation 

Copyright information

© The International Urogynecological Association 2012

Authors and Affiliations

  • Jean-Nicolas Cornu
    • 1
    • 4
  • Laurence Peyrat
    • 1
  • Ariela Skurnik
    • 2
  • Calin Ciofu
    • 1
  • Vincent R. Lucente
    • 3
  • Francois Haab
    • 1
  1. 1.Department of Urology, Groupe Hospitalo-Universitaire EST, Assistance Publique-Hôpitaux de Paris (AP-HP), University Paris VITenon HospitalParisFrance
  2. 2.Hospital Pitié-Salpêtrière, Groupe Hospitalo-Universitaire EST, Assistance Publique-Hôpitaux de Paris (AP-HP), University Paris VIParisFrance
  3. 3.Department of UrologyThe Institute for Female Pelvic Medicine & St. Luke’s HospitalAllentownUSA
  4. 4.Urology Department, Tenon HospitalParis CEDEX 20France

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