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Long-term outcomes of Altis® single-incision sling procedure for stress urinary incontinence

Abstract

Introduction and hypothesis

In women with predominant stress urinary incontinence (SUI), recent data are still controversial regarding the short-term outcomes of mini-slings and there is a lack of evidence about the outcomes in the long term. Our aim was to evaluate the long-term effectiveness and complication rates of Altis® (Coloplast).

Methods

A total of 145 women with clinical SUI were implanted with an Altis® sling between April 2012 and December 2015. Women completed the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) before the intervention and in the following consultations. A telephone interview was performed in January 2021 and 131 women (90%) were available for re-evaluation. The main outcome was treatment success, defined as no self-reported SUI symptoms and no reintervention. Secondary outcomes included response to ICIQ-SF (cure defined as ICIQ-SF = 0) and Patient Global Impression of Improvement (PGI-I) questionnaires, de novo overactive bladder (OAB) symptoms and adverse events.

Results

The overall treatment success was 73.3% at a median follow-up of 8 years. The ICIQ-SF cure rate was 66.1%. In the PGI-I, 70.4% answered that they were much better or very much better. Later postoperative complications included 2 cases (1.5%) of vaginal extrusion (requiring surgical removal of the eroded mesh segment), 3 (2.3%) cases of infravesical obstruction (which led to sling section), de novo urgency in 20 patients (15.3%), and mild dyspareunia in 2 (1.5%) patients.

Conclusions

The Altis® sling was safe and effective in a long-term follow-up, improving the quality of life in patients with SUI.

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Authors and Affiliations

Authors

Contributions

A. Gromicho: project development, data collection, data analysis, manuscript writing; J. Dias: project development, data management, manuscript editing; D. Araújo: data collection, manuscript editing; R. Rodrigues: data collection; G. Bou Kheir: data analysis; L. Ferraz: manuscript editing.

Corresponding author

Correspondence to Alexandre Gromicho.

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Gromicho, A., Dias, J., Araújo, D. et al. Long-term outcomes of Altis® single-incision sling procedure for stress urinary incontinence. Int Urogynecol J 33, 717–722 (2022). https://doi.org/10.1007/s00192-021-04936-2

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  • DOI: https://doi.org/10.1007/s00192-021-04936-2

Keywords

  • Long-term outcome
  • Single-incision slings
  • Altis
  • Stress urinary incontinence