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dc.typeArtigo de periódicopt_BR
dc.titleWhat Is The Best Indication For Single-incision Ophira Mini Sling? Insights From A 2-year Follow-up International Multicentric Study.pt_BR
dc.contributor.authorPalma, Paulopt_BR
dc.contributor.authorRiccetto, Cassiopt_BR
dc.contributor.authorBronzatto, Elainept_BR
dc.contributor.authorCastro, Rodrigopt_BR
dc.contributor.authorAltuna, Sebastianpt_BR
unicamp.authorPaulo Palma, Division of Female Urology, University of Campinas (UNICAMP), Campinas, Brazil.pt_BR Riccetto,pt Bronzatto,pt Castro,pt Altuna,pt
dc.subjectFollow-up Studiespt_BR
dc.subjectMiddle Agedpt_BR
dc.subjectProspective Studiespt_BR
dc.subjectProsthesis Designpt_BR
dc.subjectRisk Factorspt_BR
dc.subjectSuburethral Slingspt_BR
dc.subjectTime Factorspt_BR
dc.subjectUrinary Incontinence, Stresspt_BR
dc.subjectUrologic Surgical Procedurespt_BR
dc.description.abstractThe Ophira Mini Sling System involves anchoring a midurethral, low-tension tape to the obturator internus muscles bilaterally at the level of the tendinous arc. Success rates in different subsets of patients are still to be defined. This work aims to identify which factors influence the 2-year outcomes of this treatment. Analysis was based on data from a multicenter study. Endpoints for analysis included objective measurements: 1-h pad-weight (PWT), and cough stress test (CST), and questionnaires: International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and Urinary Distress Inventory (UDI)-6. A logistic regression analysis evaluated possible risk factors for failure. In all, 124 female patients with stress urinary incontinence (SUI) underwent treatment with the Ophira procedure. All patients completed 1 year of follow-up, and 95 complied with the 2-year evaluation. Longitudinal analysis showed no significant differences between results at 1 and 2 years. The 2-year overall objective results were 81 (85.3%) patients dry, six (6.3%) improved, and eight (8.4%) incontinent. A multivariate analysis revealed that previous anti-incontinence surgery was the only factor that significantly influenced surgical outcomes. Two years after treatment, women with previous failed surgeries had an odds ratio (OR) for treatment failure (based on PWT) of 4.0 [95% confidence interval (CI) 1.02-15.57). The Ophira procedure is an effective option for SUI treatment, with durable good results. Previous surgeries were identified as the only significant risk factor, though previously operated patients showed an acceptable success rate.en
dc.relation.ispartofInternational Urogynecology Journalpt_BR
dc.relation.ispartofabbreviationInt Urogynecol Jpt_BR
dc.identifier.citationInternational Urogynecology Journal. v. 25, n. 5, p. 637-43, 2014-May.pt_BR
dc.description.provenanceMade available in DSpace on 2015-11-27T13:42:47Z (GMT). No. of bitstreams: 1 pmed_24170223.pdf: 864485 bytes, checksum: d7529d2827c4462030c7e6f6089e83dc (MD5) Previous issue date: 2014en
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