Lower urinary tract symptoms · 2025
Ultrasonography and Clinical Outcomes Following Single-Incision Mid-Urethral Tape Procedure (I-Stop-Mini) for Urodynamic Stress Incontinence at 1 Year.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Lo Tsia-Shu, Kamarudin Maherah, Jhang Lan-Sin, Chiung Huan-Ka, Hsieh Wu-Chiao, Rellora Louiza Erika
Аннотация
OBJECTIVE: To evaluate I-Stop-Mini surgery outcomes in urodynamic stress incontinence (USI) patients and its sonographic features at 1 year.
METHODS: One hundred one patients with confirmed USI who underwent I-Stop-Mini surgery from March 2019 to February 2023 were recruited. Inclusion criteria include confirmed USI. Pelvic organ prolapse ≥ stage 2, detrusor overactivity, neurogenic bladder, high residual urine, or concomitant prolapse surgery were excluded. Primary outcomes were objective and subjective continence cure. Secondary outcomes were sonography findings of sling mobility (T), bladder neck (BN), sling to urethra percentile, and the presence of dynamic urethral kinking.
RESULTS: Objective cure and subjective cure were 85/92 (92.4%) and 83/92 (90.2%). Significant improvement in UDS diagnosis of USI was seen pre- versus postoperatively 92/92 (100%) versus 7/92 (7.85%) p < 0.001 and change in pad weight from 22.4 ± 29.1 to 1.5 ± 3.8 g, p < 0.001. As for secondary outcome, no change in resting tape position (xt, yt), at 6months and 1 year; (18.2 ± 2.8, 17.3 ± 2.6 mm) versus (18.8 ± 2.2, 17.8 ± 2.8 mm), (p = 0.208, p = 0.237) respectively. During Valsalva (22.4 ± 3.3, 7.0 ± 2.9 mm) versus (22.8 ± 3.7, 7.5 ± 2.4 mm) (p = 0.251, p = 0.135) at 6 months and 1 year. Tape mobility unchanged, 11.3 ± 2.5 versus 11.4 ± 3.0 mm, p = 0.693. Dynamic kinking was maintained at 60% versus 59%, p = 0.877. No major complication was observed.
CONCLUSION: I-Stop-Mini SIS has high objective and subjective cure. Dynamic kinking, BN position (at rest and Valsalva) and mobility between 6 months and 1 year were maintained, thus promoting its continence effect.
METHODS: One hundred one patients with confirmed USI who underwent I-Stop-Mini surgery from March 2019 to February 2023 were recruited. Inclusion criteria include confirmed USI. Pelvic organ prolapse ≥ stage 2, detrusor overactivity, neurogenic bladder, high residual urine, or concomitant prolapse surgery were excluded. Primary outcomes were objective and subjective continence cure. Secondary outcomes were sonography findings of sling mobility (T), bladder neck (BN), sling to urethra percentile, and the presence of dynamic urethral kinking.
RESULTS: Objective cure and subjective cure were 85/92 (92.4%) and 83/92 (90.2%). Significant improvement in UDS diagnosis of USI was seen pre- versus postoperatively 92/92 (100%) versus 7/92 (7.85%) p < 0.001 and change in pad weight from 22.4 ± 29.1 to 1.5 ± 3.8 g, p < 0.001. As for secondary outcome, no change in resting tape position (xt, yt), at 6months and 1 year; (18.2 ± 2.8, 17.3 ± 2.6 mm) versus (18.8 ± 2.2, 17.8 ± 2.8 mm), (p = 0.208, p = 0.237) respectively. During Valsalva (22.4 ± 3.3, 7.0 ± 2.9 mm) versus (22.8 ± 3.7, 7.5 ± 2.4 mm) (p = 0.251, p = 0.135) at 6 months and 1 year. Tape mobility unchanged, 11.3 ± 2.5 versus 11.4 ± 3.0 mm, p = 0.693. Dynamic kinking was maintained at 60% versus 59%, p = 0.877. No major complication was observed.
CONCLUSION: I-Stop-Mini SIS has high objective and subjective cure. Dynamic kinking, BN position (at rest and Valsalva) and mobility between 6 months and 1 year were maintained, thus promoting its continence effect.