Long Term Follow-Up In Feminine Stress Urinary Incontinence Ambulatory Surgery By Using A Single Incision Transobturator Mesh
Journal Title: Journal of Anesthesia and Surgery - Year 2018, Vol 5, Issue 1
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.
Authors and Affiliations
Pedro Navalon Verdejo
Keywords
Related Articles
- EP ID EP418840
- DOI 10.15436/2377-1364.18.1783
- Views 105
- Downloads 0
Subcostal Transversus Abdominis Plane (STAP) Block with Depot Steroids in the Management of Upper Abdominal Myofascial Pain Syndrome (AMPS)
Background: Abdominal myofascial pain syndrome is a poorly recognised cause of chronic abdominal wall pain. Diagnosis is confirmed by a positive response to trigger point injection. In the presence of extensive myofascia...
The Effect of Intravenous Infusion of Magnesium Sulfate during Surgery on Pain Reduction after Caesarean Section with Spinal Anesthesia
Background: This study evaluated the effect of infusion of magnesium sulfate during surgery on pain and Parturient morbidity after caesarean section. Methods: In this randomized controlled double-blind clinical trial, 40...
The Skin Conductance Algesimeter Validated with the Numerical Rating Scale Postoperatively in Patients Treated with Classical Music
Background: An inadequate estimation and management of perioperative pain may delay patient recovery and discharge from hospital. The aim of this study was to evaluate the efficacy of the skin conductance algesimeter ind...
Relative Clinical Heat Transfer Effectiveness: ForcedAir Warming Vs. Conductive Fabric Electric Warming, A Randomized Controlled Trial
Study Objective: Forced-air warming (FAW) relies on convection and is limited to the area under a single blanket. Conductive fabric warming (CFW) relies on conductive heat transfer. More important clinically is that CFW...
New Program for Estimation of Degree of the Patient's Severity
Based on parameters of the previously developed by the author universal analytical system of physiological condition of the body PHUAS a new algorithm for assessing of the patient rsquo s severity was proposed Algorit...