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Related Concept Videos

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Related Experiment Video

Updated: Sep 8, 2025

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
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Altis® Adjustable Single Incision Sling System for Treatment of Intrinsic Sphincteric Deficiency: A 3-Year Follow-up

Andrea Morciano1, Giuseppe Marzo1, Dario Caliandro1

  • 1From the Panico Pelvic Floor Center, Department of Gynaecology and Obstetrics, Pia Fondazione "Card. G. Panico," Tricase, Lecce.

Urogynecology (Philadelphia, Pa.)
|June 13, 2022
PubMed
Summary

The Altis sling effectively treats isolated intrinsic sphincteric deficiency (ISD) in women, showing high cure rates and a favorable safety profile over three years. This adjustable sling offers a safe alternative to traditional treatments.

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Area of Science:

  • Urology
  • Gynecology
  • Pelvic Floor Surgery

Background:

  • Intrinsic sphincteric deficiency (ISD) is a cause of stress urinary incontinence.
  • Traditional midurethral slings have been used for ISD treatment.
  • Long-term outcomes and safety data for newer sling systems are important.

Purpose of the Study:

  • To evaluate the long-term subjective and objective outcomes of the Altis adjustable single incision sling for ISD.
  • To assess the safety profile of the Altis sling over a 3-year follow-up period.

Main Methods:

  • Retrospective single-arm study of 107 women with ISD treated with the Altis sling.
  • Objective cure assessed by cough stress test and urodynamics.
  • Subjective cure assessed by Patient Global Impression of Improvement.
  • Follow-up at 6, 12, and 36 months.

Main Results:

  • 3-year objective cure rate of 86.9% and subjective cure rate of 81.5%.
  • No intraoperative complications or urinary obstruction reported.
  • 10 patients (9.3%) experienced self-limited, low-grade postoperative complications.

Conclusions:

  • The Altis adjustable single incision sling demonstrates effectiveness and safety in treating women with ISD.
  • It presents a viable and safe alternative to traditional midurethral slings for ISD management.