Adjustable single-incision mini-slings (Ajust®) versus other slings in surgical management of female stress urinary incontinence: a meta-analysis of effectiveness and complications

Springer Science and Business Media LLC - Tập 18 - Trang 1-10 - 2018
Fuding Bai1, Jimin Chen1, Zhewei Zhang1, Yichun Zheng1, Jiaming Wen1, Xiawa Mao1, Nan Zhang1
1Department of Urology, School of Medicine Hangzhou, Second Affiliated Hospital, Zhejiang University, Hangzhou, People’s Republic of China

Tóm tắt

Adjustable single-incision mini-sling (SIMS) is a new category of SIMS for stress urinary incontinence (SUI). The aim of this study was to compare the efficacy and safety of adjustable single-incision mini-sling with other slings. Literature search in databases such as Pubmed, and Conchrane Library was performed up to December, 2015. The outcomes including cure rate, operation time, postoperative pain score and complications were reanalyzed. The pooled relative risk (RR) and mean difference (MD) with their 95% confidence interval (95% CI) were calculated by RevMan v5.0. Eight studies with 1093 SUI female patients were included. There was no significant difference between adjustable SIMS and other slings (transobturator slings and MiniArc) in patients subjective cure rate and objective cure rate. In addition, adjustable SIMS was associated with a significantly shorter operative time and lower postoperative pain score when comparing adjustable SIMS with transobturator tape (MD = − 1.35; 95%CI: -2.24 to − 0.46, P = 0.003). For the complications, there was also no significant difference between adjustable SIMS and transobturator slings. Adjustable SIMS had equally efficacy for SUI compared with transobturator slings and MiniArc. However, the significantly shorter operative time and lower postoperative pain score than transobturator tape supported the clinical application of adjustable SIMS.

Tài liệu tham khảo

Donkelaar CST, Rosier PFWM, Kort LMOD: 990 international continence society definition of detrusor underactivity; analysis of clinical parameters and comparison with contractility grading methods. Eur Urol Suppl 2016, 15(3):e975-e975. Kavia R, Rashid T, Ockrim J. Stress urinary incontinence. J Clin Urol. 2013;6(6):377–90. Fritel X, Fauconnier A, Bader G, Cosson M, Debodinance P, Deffieux X, Denys P, Dompeyre P, Faltin D, Fatton B. Diagnosis and management of adult female stress urinary incontinence: guidelines for clinical practice from the French College of Gynaecologists and Obstetricians. Eur J Obstet Gynecol Reprod Biol. 2010;151(1):14–9. Fong ED, Nitti VW. REVIEW ARTICLE: mid-urethral synthetic slings for female stress urinary incontinence. BJU Int. 2010;106(5):596–608. Nilsson C, Palva K, Aarnio R, Morcos E, Falconer C. Seventeen years’ follow-up of the tension-free vaginal tape procedure for female stress urinary incontinence. Int Urogynecol J. 2013;24(8):1265–9. Kroon N, Smith K, Gill J: Bowel injury at TVT: an issue of consent. Journal of Obstetrics & Gynecology 2007, 27(7):741-741. Agostini A, Bretelle F, Franchi F, Roger V, Cravello L, Blanc B. Immediate complications of tension-free vaginal tape (TVT): results of a French survey. Eur J Obstet Gynecol Reprod Biol. 2006;124(2):237–9. Serati M, Braga A, Cattoni E, Siesto G, Cromi A, Ghezzi F, Salvatore S. Transobturator vaginal tape for the treatment of stress urinary incontinence in elderly women without concomitant pelvic organ prolapse: is it effective and safe? Eur J Obstet Gynecol Reprod Biol. 2013;166(1):107–10. Potić M, Ignjatović I, Bašić D. Tension free vaginal tape (TVT) vs transobturator tape (TOT) complications and outcomes. Acta Chirurgica Iugoslavica. 2014;61(1):81–4. Bozkurt M, Yumru A, Salman S. Assessment of perioperative, early, and late postoperative complications of the inside-out transobturator tape procedure in the treatment of stress urinary incontinence. Clin Exper Obstet Gynecol. 2014;42(1):82–9. Neuman M, Sosnovski V, Kais M, Ophir E, Bornstein J. Transobturator vs single-incision suburethral mini-slings for treatment of female stress urinary incontinence: early postoperative pain and 3-year follow-up. J Minim Invasive Gynecol. 2011;18(6):769–73. Oliveira R, Botelho F, Silva P, Resende A, Silva C, Dinis P, Cruz F. Exploratory study assessing efficacy and complications of TVT-O, TVT-Secur, and mini-arc: results at 12-month follow-up. Eur Urol. 2011;59(6):940–4. Mostafa A, Lim CP, Hopper L, Madhuvrata P, Abdel-Fattah M. Single-incision mini-slings versus standard midurethral slings in surgical management of female stress urinary incontinence: an updated systematic review and meta-analysis of effectiveness and complications. Eur Urol. 2013;29:00860–9. Meschia M, Barbacini P, Baccichet R, Buonaguidi A, Maffiolini M, Ricci L, Braghin C, Brusati V, Dell’Utri C, Spreafico L. Short-term outcomes with the Ajust™ system: a new single incision sling for the treatment of stress urinary incontinence. Int Urogynecol J. 2011;22(2):177–82. Abdel-Fattah M, Agur W, Abdel-All M, Guerrero K, Allam M, Mackintosh A, Mostafa A, Yousef M. Prospective multi-Centre study of adjustable single-incision mini-sling (Ajust®) in the management of stress urinary incontinence in women: 1-year follow-up study. BJU Int. 2012;109(6):880–6. Martan A, Krhut J, MAŠATA J, ŠVABÍK K, HALAŠKA M, HORČIČKA L, Zachoval R. Prospective randomized study of MiniArc and Ajust single incision sling procedures. LUTS. 2014;6(3):172–4. Moher D, Liberati A, Tetzlaff J, Altman DG. Reprint—preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Phys Ther. 2009;89(9):873–80. Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJM, Gavaghan DJ, McQuay HJ. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials. 1996;17(1):1–12. Higgins JPT, Altman DG, Gøtzsche PC, Jüni P, Moher D, Oxman AD, Savović J, Schulz KF, Weeks L, Sterne JAC: The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ 2011, 343(oct18 2):d5928-d5928. Boyers D, Kilonzo M, Mostafa A, Abdel-Fattah M. Comparison of an adjustable anchored single-incision mini-sling, Ajust®, with a standard mid-urethral sling, TVT-OTM: a health economic evaluation. BJU Int. 2013;112(8):1169–77. Grigoriadis C, Bakas P, Derpapas A, Creatsa M, Liapis A. Tension-free vaginal tape obturator versus Ajust adjustable single incision sling procedure in women with urodynamic stress urinary incontinence. Eur J Obstet Gynecol Reprod Biol. 2013;170(2):563–6. Schweitzer KJ, Milani AL, van Eijndhoven HW, Gietelink DA, Hallensleben E, Cromheecke G-J, van der Vaart CH. Postoperative pain after adjustable single-incision or Transobturator sling for incontinence: a randomized controlled trial. Obstet Gynecol. 2015;125(1):27–34. Dati S, Rombolà P, Cappello S, Piccione E. M432 single-incision minisling (ajust) vs obturator tension-free vaginal shortened tape (tvt-abbrevo) in surgical management of female stress urinary incontinence. Int J Gynecol Obstet. 2012;119:S670. Mostafa A, Agur W, Abdel-All M, Guerrero K, Lim C, Allam M, Yousef M, N’Dow J, Abdel-Fattah M. A multicentre prospective randomised study of single-incision mini-sling (Ajust®) versus tension-free vaginal tape-obturator (TVT-O™) in the management of female stress urinary incontinence: pain profile and short-term outcomes. Eur J Obstet Gynecol Reprod Biol. 2012;165(1):115–21. Masata J, Svabik K, Zvara K, Hubka P, Toman A, Martan A. Comparison of the efficacy of tension-free vaginal tape obturator (TVT-O) and single-incision tension-free vaginal tape (Ajust™) in the treatment of female stress urinary incontinence: a 1-year follow-up randomized trial. Int Urogynecol J. 2016;27(10):1–9. Xing X, Yue S, Xia Z. A comparison between adjustable single-incision sling and tension-free vaginal tape-obturator in treating stress urinary incontinence. Arch Gynecol Obstet. 2016;293(2):1–7. Wang SM, Zhang ZY, Liu CD, Wang SZ. Study on concomitant surgical correction of pelvic organ prolapse and TVT-O for treatment of stress urinary incontinence. Zhonghua Fu Chan Ke Za Zhi. 2013;48(7):494–8. Zhang P, Fan B, Han H, Xu Y, Wang B, Zhang X. Meta-analysis of female stress urinary incontinence treatments with adjustable single-incision mini-slings and transobturator tension-free vaginal tape surgeries. BMC Urol. 2015;15(1):64. Zhang X. Initial study with the Ajust~(TM) system:a single incision adjustable sling for the treatment of female stress urinary incontinence. J Clin Urol. 2012; Palomba S, Oppedisano R, Torella M, Falbo A, Maiorana A, Materazzo C, Tartaglia E, Tolino A, Mastrantonio P, Alio L. A randomized controlled trial comparing three vaginal kits of single-incision mini-slings for stress urinary incontinence: surgical data. Eur J Obstet Gynecol Reprod Biol. 2012;163(1):108–12.