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Short-term outcomes with the Ajust™ system: a new single incision sling for the treatment of stress urinary incontinence

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International Urogynecology Journal Aims and scope Submit manuscript

Abstract

Introduction and hypothesis

To evaluate the efficacy and safety of the minimally invasive Ajust™ system in the treatment of stress urinary incontinence.

Methods

This was a prospective multicentre study. All patients with primary urodynamic stress urinary incontinence were prospectively selected to receive the Ajust™ procedure. The International Consultation on Incontinence-Short Form (ICI-SF), Women Irritative Prostate Symptoms Score (W-IPSS), PGI-S, and PGI-I questionnaires were used to evaluate the impact of incontinence and voiding dysfunction on QoL and to measure patient's perception of incontinence severity and improvement.

Results

From January 2009 to October 2009, 111 consecutive subjects were enrolled in the study. At 6 months, 102 were available for outcomes analysis. The subjective and objective cure rates were 85.7% and 91.4%, respectively. The ICI-SF and W-IPSS questionnaires showed a statistical significant improvement in symptom scores.

Conclusions

In the short-term follow-up, the Ajust™ system was effective in restoring continence in more than 85% of subjects with a highly significant improvement in QoL.

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Abbreviations

SUI:

Stress urinary incontinence

QoL:

Quality of life

SIS:

Single incision sling

MUCP:

Maximum urethral closure pressure

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Conflicts of interest

None.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Ospedale “G. Fornaroli”, Magenta, Milan, Italy

    Michele Meschia, Pietro Barbacini & Valentina Brusati

  2. Department of Obstetrics and Gynecology, Ospedale di Conegliano, Conegliano, Veneto, Italy

    Roberto Baccichet & Chiara Braghin

  3. Department of Obstetrics and Gynecology, IRCCS Fondazione Policlinico Mangiagalli e Regina Elena, Milan, Italy

    Arturo Buonaguidi & Chiara Dell’Utri

  4. Department of Obstetrics and Gynecology, Ospedale di Pieve di Coriano, Pieve di Coriano, Italy

    Marco Maffiolini

  5. Department of Obstetrics and Gynecology, Ospedale di Montecchio Emilia, Montecchio Emilia, Italy

    Luisa Ricci & Lorenzo Spreafico

Authors
  1. Michele Meschia
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  2. Pietro Barbacini
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  3. Roberto Baccichet
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  4. Arturo Buonaguidi
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  5. Marco Maffiolini
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  6. Luisa Ricci
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  7. Chiara Braghin
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  8. Valentina Brusati
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  9. Chiara Dell’Utri
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  10. Lorenzo Spreafico
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Corresponding author

Correspondence to Michele Meschia.

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Meschia, M., Barbacini, P., Baccichet, R. et al. Short-term outcomes with the Ajust™ system: a new single incision sling for the treatment of stress urinary incontinence. Int Urogynecol J 22, 177–182 (2011). https://doi.org/10.1007/s00192-010-1254-6

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  • DOI: https://doi.org/10.1007/s00192-010-1254-6

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