INTRODUCTION AND HYPOTHESIS: Data on Altis® (Coloplast), a new adjustable single-incision sling (SIS) procedure for the treatment of female stress urinary incontinence (SUI), are scarce.
Our aim was to evaluate the efficacy and complication rates of this procedure.
METHODS: In this prospective observational study, a total of 52 women with SUI were implanted with an Altis® sling in an ambulatory setting. Before and after intervention (3, 6, and 12 months), women completed the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF). In addition, patients underwent a cough stress test at each evaluation and a post-voiding residual urine volume estimation at 3 months. The main outcomes measured were subjective cure (ICIQ-SF = 0), subjective improvement (ICIQ-SF >0 and < preoperative ICIQ-SF), and objective cure (negative cough stress test and no pad usage) rates. De novo overactive bladder (OAB) symptoms, changes in voiding habits and adverse events were also analyzed.
RESULTS: The subjective cure rate at 12 months was 84.0 %, with an additional improvement rate of 8.0 %. The objective cure rate was 90.2 %. Later postoperative complications included 1 case of vaginal extrusion (requiring surgical removal of the eroded mesh segment), 3 cases of vaginal exposure of the adjustment thread (managed conservatively), de novo urgency in 3 patients, and mild dyspareunia in 2 patients.
CONCLUSIONS: The Altis® sling is a safe and effective SIS procedure for the treatment of SUI with a short-term follow-up.
Written by:
Dias J, Xambre L, Costa L, Costa P, Ferraz L. Are you the author?
Urology Department, Centro Hospitalar Vila Nova de Gaia/Espinho, EPE, Rua Conceição Fernandes, 4434-502, Vila Nova de Gaia, Portugal.
Reference: Int Urogynecol J. 2014 Mar 6. Epub ahead of print.
doi: 10.1007/s00192-014-2355-4
PubMed Abstract
PMID: 24599178
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