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Long-Term Outcomes of the Altis® Single-Incision Sling: Up to 10 Years’ Follow-up

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International Urogynecology Journal Aims and scope Submit manuscript

Abstract

Introduction and Hypothesis

Single-incision slings (SIS) have emerged as a less invasive alternative to conventional slings for stress urinary incontinence (SUI) treatment. However, long-term efficacy and safety results remain uncertain owing to a lack of studies.

Material and methods

A retrospective review of 155 patients treated with Altis® for SUI between February 2012 and June 2017, held in 2022, as a continuation of a prospective study in which all patients (197) were reviewed for 2 years after surgery (1, 6, 12, and 24 months). Preoperative demographic data, comorbidities, and pressure-flow studies were also recorded. Continence status and satisfaction rates were assessed using the International Consultation on Incontinence Questionnaire–short form (ICIQ-SF) and the Patient Global Impression of Improvement (PGI-I) respectively. The assessment in the 2022 retrospective review was performed via a telephone survey.

Results

Mean follow-up time after surgery was 85.3 months (82.5–88.1). In 2022, complete continence was present in 75.4% of the patients. The presence of urinary urgency conditioned the ICIQ-SF score (10.9 vs 1.7 points, p < 0.01), with the ICIQ-SF = 0 in 84.5% of the patients with no associated urgency. Satisfaction assessed by the PGI-I was high, with 84.6% of the patients showing improvement. De novo urgency was present in 37,9% of the patients by 2022. Urinary tract infections were the most frequent complication (9.7%), with only 5 documented cases of mesh erosion.

Conclusions

Altis® SIS is a safe and effective device for SUI treatment, with satisfaction rates comparable with those of the conventional slings. Persistence or development of urinary urgency influences the results.

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Funding

This study was not supported by any grants.

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Authors and Affiliations

  1. Department of Urology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

    Luis Miguel Quintana Franco, Raquel González López, Héctor Garde García & Carmen González Enguita

  2. Department of Urology, Hospital Central de La Defensa, Madrid, Spain

    Andrea De Palacio Fraguas

Authors
  1. Luis Miguel Quintana Franco
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  2. Raquel González López
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  3. Héctor Garde García
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  4. Andrea De Palacio Fraguas
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  5. Carmen González Enguita
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Contributions

R.G.L., H.G.G., C.G.E. contributed to the design and implementation of the research, L.M.Q.F. and A.D.P.F. to the analysis of the results and to the writing of the manuscript. C.G.E. conceived the original and supervised the project.

Corresponding author

Correspondence to Luis Miguel Quintana Franco.

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All procedures performed in this study involving human participants were in accordance with ethical standards.

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Quintana Franco, L.M., González López, R., Garde García, H. et al. Long-Term Outcomes of the Altis® Single-Incision Sling: Up to 10 Years’ Follow-up. Int Urogynecol J (2024). https://doi.org/10.1007/s00192-024-05767-7

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  • DOI: https://doi.org/10.1007/s00192-024-05767-7

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