Long Term Follow-Up In Feminine Stress Urinary Incontinence Ambulatory Surgery By Using A Single Incision Transobturator Mesh
Víctor Navalon-Monllor, Alba Monzó-Cataluña, Celia Ramada-Calaforra, Yoni PallásCosta, Pedro Navalón-Verdejo
Affiliation
Urology Department, University Hospital “Casa de la Salud”, Catholic University San Vicente Mártir, Valencia, Spain
Corresponding Author
Pedro Navalón Verdejo, Urology Department, University Hospital “Casa de la Salud”, Catholic University San Vicente Mártir, Valencia, Spain, Paseo Alameda 38- 2 46023, Valencia; E-mail: pedronavalon@yahoo.com
Citation
Pedro Navalón-Monllor, V. Long Term Follow-Up in Feminine Stress Urinary Incontinence Ambulatory Surgery by Using a Single Incision Transobturator Mesh. (2018) J Anesth Surg 5(1): 17- 21.
Copy rights
© 2018 Pedro Navalón-Monllor, V. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License.
Keywords
Abstract
Objective: To evaluate short and long-term results obtained from ambulatory surgical treatment of feminine stress urinary incontinence (SUI), by using a transobturator mesh (TOT) and a single Contasure-Needleless incision (Neomedic-International).
Patients and Method: Between January 2007 and December 2015, 215 patients suffering from SUI received surgery under local anaesthesia and strict ambulatory regime, by placing a Needleless suburethral sling without tension. We evaluated all the inclusion criteria and both long and short-term results. Every patient underwent a bladder stress test, a urodynamic study and a quality of life questionnaire (ICIQSF) before and after the procedure. Later, they were followed up by means of annual reviews until December 2016.
Results: Tolerance to the surgical procedure was satisfactory and duration was in all cases less than 10 minutes, hospital stay until discharge was always inferior to 2 hours. The results we obtained in short, medium and long term are comparable to the ones achieved with epidural anaesthesia. Hospitalisation and level of postoperative satisfaction was very high as well.
Conclusion: Almost all patients affected by this problem are good candidates to be included in an ambulatory surgery program, improving ostensibly cost-effectiveness without any repercussion on the quality of care or satisfaction degree and giving excellent and long-lasting results, both medium and long term.
