Long Term Follow-Up In Feminine Stress Urinary Incontinence Ambulatory Surgery By Using A Single Incision Transobturator Mesh

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.