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Incisionless cystourethropexy--the Intac device--an initial experience
A MacGibbon1, G Brieger, A Korda
1Department of Gynaecology and Urogynaecology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Summary
A new minimally invasive device for genuine stress incontinence in women showed promising results. 73% of patients reported symptom improvement, with 53% cured based on urodynamic testing.
Area of Science:
- Urology
- Gynecology
- Minimally Invasive Surgery
Background:
- Genuine stress urinary incontinence (SUI) significantly impacts women's quality of life.
- Current treatments for SUI vary in efficacy and invasiveness.
- A need exists for effective, minimally invasive SUI treatment options.
Purpose of the Study:
- To evaluate a novel minimally invasive per vaginal bone anchor device for treating genuine stress incontinence.
- To assess the objective and subjective outcomes of this new device in women with SUI.
Main Methods:
- Fifteen women diagnosed with Type I or Type II SUI were enrolled.
- Treatment involved a new per vaginal bone anchor device to secure periurethral tissues to the pubic bone.
- Outcomes were assessed via subjective questionnaires and objective urodynamic testing at 6-13 months post-procedure.
Main Results:
- No significant operative morbidity was reported among the participants.
- Subjectively, 73% of patients experienced improvement in their incontinence symptoms.
- Objectively, 53% of patients achieved a cure of their SUI as confirmed by urodynamic testing.
Conclusions:
- The new minimally invasive bone anchor device demonstrates potential efficacy in treating genuine stress incontinence.
- The device offers a favorable safety profile with significant subjective and objective improvements in treated patients.
- Further research with larger cohorts is warranted to confirm these findings.