Local anesthesia for Altis® single incision sling in women with stress urinary incontinence.
- Resource Type
- Article
- Authors
- Morciano, Andrea; Marzo, Giuseppe; Caliandro, Dario; Schiavi, Michele Carlo; Giaquinto, Alessia; Rappa, Carlo; Zullo, Marzio Angelo; Tinelli, Andrea; Scambia, Giovanni; Cervigni, Mauro
- Source
- Minimally Invasive Therapy & Allied Technologies. Aug2023, Vol. 32 Issue 4, p207-212. 6p.
- Subject
- *EXERCISE tests
*MINIMALLY invasive procedures
*CARDIOPULMONARY system
*LOCAL anesthesia
*WOMEN
*RETROSPECTIVE studies
*SURGICAL complications
*TREATMENT effectiveness
*SUBURETHRAL slings
*URINARY stress incontinence
*URODYNAMICS
*QUESTIONNAIRES
*SPINAL anesthesia
*PATIENT safety
- Language
- ISSN
- 1364-5706
Local anesthesia for single incision slings has shown a good objective and subjective cure rate in women with stress urinary incontinence. The aim of the present study was to verify the efficacy and safety of local anesthesia during Altis® single incision placement. One hundred sixty-six consecutive patients (83 patients for each group: local resp. spinal anesthesia) were selected from our database for this retrospective study among women who underwent an Altis® implantation for SUI from September 2016 to June 2021, after unsuccessful previous conservative treatment. Primary endpoints were objective and subjective cure rates; secondary endpoint was the evaluation of complications linked to this procedure. A total of 155 included patients completed our 12 months follow-up. Baseline characteristics were similar between the groups. Operative time (percentage difference of 50%; p < 0.05) and the Intraoperative Difficulty Scale resulted lower in spinal patients. No differences were found between populations in terms of objective (cough stress test and urodynamics) and subjective (PGI-I and FSDS questionnaires) cure rate and postoperative complications. Local anesthesia for Altis® implantation could be considered a safe alternative to spinal anesthesia and an effective opportunity to avoid general anesthesia, increasing the possibility of outpatient implantation of this sling system. [ABSTRACT FROM AUTHOR]