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Type: Artigo de periódico
Title: Transobturator Safyre Sling Is As Effective As The Transvaginal Procedure.
Author: Palma, Paulo
Riccetto, Cassio
Herrmann, Viviane
Dambros, Miriam
Thiel, Marcelo
Bandiera, Sebastiano
Netto, Nelson Rodrigues
Abstract: SAFYRE is a monofilament polypropylene mesh held between two self-anchoring silicone columns that associates universal approach with readjustability. This unique feature allows for comparing two different approaches, i.e., transvaginal and transobturator, using the same sling. A total of 226 patients with clinical and urodynamic diagnosis of SUI underwent SAFYRE sling procedure, which was performed either by transvaginal (group 1; 126 patients) or transobturator approach (group 2; 100 patients). The mean age was 63 years, in group 1 and 61 years in group 2. Physical examination, stress and pad test and urodynamic assessment were performed before the surgery. The average follow-up period was 18 months in group 1 and 14 months in group 2. There was no difference in cure rate in both groups. The mean operative time was longer (25 min) in group 1 than in group 2 (15 min) (P<0.05). Bladder injury was significative greater in transvaginal group [respectively, 12/126 (0%) versus 0/100 (0%)]. Postoperatively, 20.6% of the patients presented transient irritative voiding symptoms in group transvaginal group as opposed to 10% in transobturator group. SAFYRE sling performed by transobturator approach is as effective as the transvaginal procedure. Fewer complications and less operative time were additional advantages of the transobturator approach.
Subject: Aged
Equipment Design
Follow-up Studies
Middle Aged
Prostheses And Implants
Retrospective Studies
Surgical Mesh
Time Factors
Urinary Incontinence, Stress
Urologic Surgical Procedures
Citation: International Urogynecology Journal And Pelvic Floor Dysfunction. v. 16, n. 6, p. 487-91
Rights: fechado
Identifier DOI: 10.1007/s00192-005-1309-2
Date Issue: -1-Uns- -1
Appears in Collections:Unicamp - Artigos e Outros Documentos

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