Ajust single incision transobturator sling procedure for stress urinary incontinence: results after 1-year follow-up.

International Urogynecology Journal
Jean-Nicolas CornuFrancois Haab

Abstract

Data on the Ajust, a new single-incision sling procedure for female stress urinary incontinence (SUI) management, remain scarce and limited to a 1-year follow-up. Our goal was to assess the efficacy of this procedure after a 1-year follow-up. This prospective evaluation involved 95 consecutive patients implanted with Ajust at a single centre. All patients had SUI on urodynamics due to urethral hypermobility, 33 % had preoperative overactive bladder (OAB) symptoms and none had detrusor overactivity. Ninety-two patients were treated on an outpatient basis, and 3 patients had general anaesthesia. Postoperative assessment was conducted at 1, 6, 12 months, and yearly thereafter. The main outcome measure was pad usage. Secondary parameters were self-reported SUI episodes, OAB symptoms, data of clinical examination, satisfaction using the Patient Global Impression of Improvement (PGI-I) scale, postoperative pain, and adverse events. After a mean follow-up of 21 ± 6 months (12-32), 76 out of 95 patients used no pads or one dry security pad, showing a success rate of 80 %. Seventy-nine out of 95 patients had no more SUI-related leakage. Only 6 patients experienced late recurrence of SUI after 6 months' follow-up. Perioperative complicat...Continue Reading

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Citations

Aug 27, 2013·Journal de gynécologie, obstétrique et biologie de la reproduction·C CastellierP Debodinance
Feb 25, 2014·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·P Debodinance
Sep 19, 2014·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Franca NataleEmilio Piccione
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May 7, 2020·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·M Henry de VilleneuveL Wagner

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