Needleless Contasure versus TVT-O in Women with Stress Urinary Incontinence  

作　　者：Abd El-Moneim Abd El-Aziz Saleh Mahmoud Ahmed Ghareb Diab Alsayed Mohamed Ibrahiem Walid Mohamed Elnagar Mohammed Hassan Elsayed Barakat Abd El-Moneim Abd El-Aziz Saleh;Mahmoud Ahmed Ghareb;Diab Alsayed Mohamed Ibrahiem;Walid Mohamed Elnagar;Mohammed Hassan Elsayed Barakat(Obstetrics & Gynecology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt;Urology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt)

机构地区：[1]Obstetrics & Gynecology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt [2]Urology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt

出　　处：《Open Journal of Obstetrics and Gynecology》2020年第8期1107-1121,共15页妇产科期刊（英文）

摘　　要：<strong>Objectives</strong>: <span style="font-family:;" "=""><span>The aim of this thesis is to determine the clinical effectiveness, safety and cost-effectiveness of Single Incision needleless Mini-Slings compared with tension-free Standard Mid-urethral Sling in the surgical management of female stress urinary incontinence, but with less side effects. </span><b><span>Methods:</span></b><span> The study will be conducted in Zagazig University Hospitals. From 2018 to Sept. 2019, 40 cases were enrolled in the study and were randomized by envelope technique at the time of surgery to either a trans-obturator vaginal tape (TOT) or Needleless anti-incontinence procedure. The patients will be divided into 2 groups: Group 1 patient treated by standard sling (TOT). Group 2 those treated by mini-sling. Parameters in perioperative period such as operating time, intraoperative hemorrhage volume, length of stay in hospital, intraoperative complications, and postoperative pain of each patient were recorded. The sample size was calculated to be 40 cases (20 cases will be treated by standard slings, 20 case will be treated by mini-sling). </span><b><span>Results: </span></b><span>A total of 40 patients assessed for eligibility were randomized into Needleless groups. There were no significant differences in age, body mass index, process, parity, pad test or the assessment of preoperative quality of life between the two groups. In the perioperative period, statistically significant differences between the two groups were found in operating time, intraoperative hemorrhage volume, groin pain scores at 24 h after operation and length of stay in hospital (P < 0.001). After two weeks of follow-up, a statistically significant difference between the two groups was found in groin pain/femori-bus internus pain scores, but there were no significant differences in cure rates, pad test, complications or ICIQ-SF. After 1 year, there were no significant differences between the Needleless and TOT groups in cure rates, pad test, groin pain or IC<strong>Objectives</strong>: <span style="font-family:;" "=""><span>The aim of this thesis is to determine the clinical effectiveness, safety and cost-effectiveness of Single Incision needleless Mini-Slings compared with tension-free Standard Mid-urethral Sling in the surgical management of female stress urinary incontinence, but with less side effects. </span><b><span>Methods:</span></b><span> The study will be conducted in Zagazig University Hospitals. From 2018 to Sept. 2019, 40 cases were enrolled in the study and were randomized by envelope technique at the time of surgery to either a trans-obturator vaginal tape (TOT) or Needleless anti-incontinence procedure. The patients will be divided into 2 groups: Group 1 patient treated by standard sling (TOT). Group 2 those treated by mini-sling. Parameters in perioperative period such as operating time, intraoperative hemorrhage volume, length of stay in hospital, intraoperative complications, and postoperative pain of each patient were recorded. The sample size was calculated to be 40 cases (20 cases will be treated by standard slings, 20 case will be treated by mini-sling). </span><b><span>Results: </span></b><span>A total of 40 patients assessed for eligibility were randomized into Needleless groups. There were no significant differences in age, body mass index, process, parity, pad test or the assessment of preoperative quality of life between the two groups. In the perioperative period, statistically significant differences between the two groups were found in operating time, intraoperative hemorrhage volume, groin pain scores at 24 h after operation and length of stay in hospital (P < 0.001). After two weeks of follow-up, a statistically significant difference between the two groups was found in groin pain/femori-bus internus pain scores, but there were no significant differences in cure rates, pad test, complications or ICIQ-SF. After 1 year, there were no significant differences between the Needleless and TOT groups in cure rates, pad test, groin pain or IC

关 键 词：Mini-Sling Needleless Stress Urinary Incontinence TVT-O TVT Contasure 

分 类 号：R73[医药卫生—肿瘤]