1358 PROSPECTIVE EVALUATION OF THE AJUST SINGLE INCISION TRANSOBTURATOR SLING PROCEDURE FOR STRESS URINARY INCONTINENCE IN WOMEN: RESULTS OVER ONE YEAR FOLLOW-UP

Abstract

You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Incontinence - Evaluation & Therapy III1 Apr 20121358 PROSPECTIVE EVALUATION OF THE AJUST SINGLE INCISION TRANSOBTURATOR SLING PROCEDURE FOR STRESS URINARY INCONTINENCE IN WOMEN: RESULTS OVER ONE YEAR FOLLOW-UP Jean-Nicolas Cornu, Ariela Skurnik, Calin Ciofu, Laurence Peyrat, Vincent Lucente, and François Haab Jean-Nicolas CornuJean-Nicolas Cornu Paris, France More articles by this author , Ariela SkurnikAriela Skurnik Paris, France More articles by this author , Calin CiofuCalin Ciofu Paris, France More articles by this author , Laurence PeyratLaurence Peyrat Paris, France More articles by this author , Vincent LucenteVincent Lucente Allentown, PA More articles by this author , and François HaabFrançois Haab Paris, France More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1741AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Ajust™, a novel single incision sling for management of stress urinary incontinence in women, has been presented through two reports with a limited follow-up between 6 and 12 months. Our goal was to assess the efficacy of Ajust™ after a minimum follow-up of one year, the minimal follow-up required to evaluate an incontinence device according to the AUA guidelines. METHODS This prospective evaluation involved 95 consecutive patients managed by Ajust™ sling implantation in a single center. All patients had SUI on urodynamics due to urethral hypermobility. One third of patients had preoperative overactive bladder (OAB) symptoms but none had detrusor overactivity. Ninety two patients were operated on local anesthesia on an outpatient basis, and three patients had general anesthesia. Postoperative assessment was conducted at 1, 6, 12 months and yearly thereafter. The main outcome measure was pad usage. Secondary parameters were self reported SUI episodes, OAB symptoms, data of clinical examination, satisfaction using the Patient Global Impression of Improvement (PGI-I) scale, post-operative pain, and adverse events. RESULTS After a mean follow-up of 24±6 months [16-36], 76/95 patients used no pads or one dry security pad, and 79/95 patients had no more SUI related leakage at self reporting and clinical examination. Only six patients experienced late recurrence of SUI after 6-months follow-up. Time to recurrence is shown on figure (Kaplan Meier analysis). Peri-operative complications were one case of vaginal hematoma, one case of acute urinary retention, two cases of urinary tract infection, all managed conservatively. Half patients had no need for any medication for pain management after day one. Late complications were vaginal erosion in one case, and pain during efforts in two cases. CONCLUSIONS The Ajust™ single incision transobturator sling is a safe and effective procedure, with durable results after one year. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e551 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jean-Nicolas Cornu Paris, France More articles by this author Ariela Skurnik Paris, France More articles by this author Calin Ciofu Paris, France More articles by this author Laurence Peyrat Paris, France More articles by this author Vincent Lucente Allentown, PA More articles by this author François Haab Paris, France More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...