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The Ibero-American experience with a re-adjustable minimally invasive sling
Paulo C R Palma1, Miriam Dambros, Cássio Z Riccetto
1Division of Urology, Universidade Estadual de Campinas, UNICAMP, Cidade Universitária Zeferino Vaz, Campinas, SP, Brazil.
Objective:
To report our experience with the Safyre (Promedon, Cordoba, Argentina), a new re-adjustable and minimally invasive sling for treating stress urinary incontinence (SUI), which combines the efficacy of slings with re-adjustability.
Patients And Methods:
In all, 126 consecutive patients with a clinical and urodynamic diagnosis of SUI had a Safyre sling procedure (mean age 63 years, range 40-71). Seventy-six patients (60%) presented after previous failed anti-incontinence procedures; all had a physical and clinical examination, a stress test, urodynamic study and assessment of pad use before the surgery. All the patients presented with symptoms of SUI and 37 (29%) also reported mild urgency.
Results:
The mean (range) follow-up was 18 (12-36) months, and the mean operative duration 25 min. Dystopia was repaired whenever necessary during the same procedure. The mean hospital stay was 24 h. In three implants (2%) the bladder was perforated. After surgery 26 patients (21%) developed urgency symptoms; during the follow-up 116 (92%) were continent, three (2%) reported an improvement and seven (6%) were dissatisfied.
Conclusion:
The Safyre is a safe and quick procedure that allows for postoperative readjustment; this technique may be an attractive alternative if the good results obtained so far prove to be durable.
