A new promising approach to urodynamic stress urinary incontinence care can help menopausal women

Wael Khafagy; Walaa ElBassioune; Mahmoud Rady; Elmetwally Farouk; Ehab Elhelw; Ahmed Saeed; Ahmed Mahmoud; Hamada Abuelmatti; Ahmed Elsheikh; Mohamed Mahmoud; Mohammed Hussein; Ahmed Zaky; Ahmed Abdeltawab; Soliman Ali; Muhammad Altoraky; Mahmoud Hegazy; Ahmed Almorsy; Moatazza Alghazaly; Mohamed Rehan; Esam Elnady; Saed Khater; Alaa Mahmoud; Ahmed Elsayed; Hazem Deif

doi:10.5114/pm.2023.131058

eISSN: 2299-0038
ISSN: 1643-8876

Menopause Review/Przegląd Menopauzalny

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3/2023
vol. 22

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Original paper

A new promising approach to urodynamic stress urinary incontinence care can help menopausal women

Wael Khafagy

¹

,

Walaa ElBassioune

¹

,

Mahmoud Rady

¹

,

Elmetwally Farouk

¹

,

Ehab Elhelw

¹

,

Ahmed Saeed

¹

,

Ahmed Mahmoud

¹

,

Hamada Abuelmatti

¹

,

Ahmed Elsheikh

¹

,

Mohamed Mahmoud

¹

,

Mohammed Hussein

¹

,

Ahmed Zaky

¹

,

Ahmed Abdeltawab

¹

,

Soliman Ali

¹

,

Muhammad Altoraky

¹

,

Mahmoud Hegazy

¹

,

Ahmed Almorsy

¹

,

Moatazza Alghazaly

¹

,

Mohamed Rehan

²

,

Esam Elnady

²

,

Saed Khater

²

,

Alaa Mahmoud

²

,

Ahmed Elsayed

²

,

Hazem Deif

²

Department of Obstetrics and Gynaecology, Al-Azhar University, Al-Azhar, Egypt
Department of Urology, Al-Azhar University, Al-Azhar, Egypt

Menopause Rev 2023; 22(3): 121-125

DOI: https://doi.org/10.5114/pm.2023.131058

Online publish date: 2023/09/11

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AMA

Khafagy W, ElBassioune W, Rady M, et al. A new promising approach to urodynamic stress urinary incontinence care can help menopausal women. Menopause Review/Przegląd Menopauzalny. 2023;22(3):121-125. doi:10.5114/pm.2023.131058.

APA

Khafagy, W., ElBassioune, W., Rady, M., Farouk, E., Elhelw, E.,  & Saeed, A. et al. (2023). A new promising approach to urodynamic stress urinary incontinence care can help menopausal women. Menopause Review/Przegląd Menopauzalny, 22(3), 121-125. https://doi.org/10.5114/pm.2023.131058

Chicago

Khafagy, Wael, Walaa ElBassioune, Mahmoud Rady, Elmetwally Farouk, Ehab Elhelw, Ahmed Saeed,  and Ahmed Mahmoud et al. 2023. "A new promising approach to urodynamic stress urinary incontinence care can help menopausal women". Menopause Review/Przegląd Menopauzalny 22 (3): 121-125. doi:10.5114/pm.2023.131058.

Harvard

Khafagy, W., ElBassioune, W., Rady, M., Farouk, E., Elhelw, E., Saeed, A., Mahmoud, A., Abuelmatti, H., Elsheikh, A., Mahmoud, M., Hussein, M., Zaky, A., Abdeltawab, A., Ali, S., Altoraky, M., Hegazy, M., Almorsy, A., Alghazaly, M., Rehan, M., Elnady, E., Khater, S., Mahmoud, A., Elsayed, A.,  and Deif, H. (2023). A new promising approach to urodynamic stress urinary incontinence care can help menopausal women. Menopause Review/Przegląd Menopauzalny, 22(3), pp.121-125. https://doi.org/10.5114/pm.2023.131058

MLA

Khafagy, Wael et al. "A new promising approach to urodynamic stress urinary incontinence care can help menopausal women." Menopause Review/Przegląd Menopauzalny, vol. 22, no. 3, 2023, pp. 121-125. doi:10.5114/pm.2023.131058.

Vancouver

Khafagy W, ElBassioune W, Rady M, Farouk E, Elhelw E, Saeed A et al. A new promising approach to urodynamic stress urinary incontinence care can help menopausal women. Menopause Review/Przegląd Menopauzalny. 2023;22(3):121-125. doi:10.5114/pm.2023.131058.

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Introduction
The goal of this study is to evaluate the effectiveness of single-incision mini-sling in the surgical treatment of postmenopausal urodynamic stress urinary incontinence (SUI) compared to the standard trans-obturator mid-urethral sling.

Material and methods
This prospective study was carried out in two tertiary centres; Al-Azhar University Maternity & Urology Hospitals. A total of 120 postmenopausal women with urodynamic SUI were randomized to undergo either single-incision mini-sling (n = 60) or standard trans-obturator mid-urethral sling procedure (n = 60) from May 2019 until Oct 2021. Main outcome measures: efficacy was evaluated utilizing objective cure rate (cough stress test) and subjective cure rate (Sandvik incontinence severity index and International Consultations on Incontinence Questionnaire – Short Form), intraoperative and postoperative complications, and postoperative pain (using a visual analogue scale).

Results
The single-incision mini-sling (SIMS) and transobturator tape (TOT) groups had no statistically signiﬁcant difference in subjective and objective cure rates (p > 0.05). Compared with the transvaginal tape O group, patients in the SIMS group had signiﬁcantly less postoperative pain, shorter operative duration, and less intraoperative blood loss (all p-values < 0.05). No signiﬁcant difference in perioperative complications was observed between both groups.

Conclusions
Single-incision mini-sling was superior to TOT in postmenopausal as SIMS is of similar effectiveness, more safe and minimally invasive with earlier ambulance.

keywords:

A new promising approach to urodynamic stress urinary incontinence care can help menopausal women

single-incision mini-sling, trans-obturator mid-urethral sling, urodynamic stress urinary incontinence, postmenopausal women