Produção Nacional
Revisado por pares
Macroplastique Implantation system for the Treatment of Female Stress Urinary Incontinence
2003; Lippincott Williams & Wilkins; Volume: 169; Issue: 6 Linguagem: Inglês
10.1097/01.ju.0000067472.94016.e8
ISSN1527-3792
AutoresJosé Tadeu Nunes Tamanini, Carlos Arturo Levi D’Ancona, Valdir Tadini, Nelson Rodrígues Netto,
Tópico(s)Colorectal Cancer Surgical Treatments
ResumoNo AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Jun 2003Macroplastique Implantation system for the Treatment of Female Stress Urinary Incontinence JOSÉ TADEU NUNES TAMANINI, CARLOS ARTURO LEVI D’ANCONA, VALDIR TADINI, and NELSON RODRIGUES NETTO JOSÉ TADEU NUNES TAMANINIJOSÉ TADEU NUNES TAMANINI More articles by this author , CARLOS ARTURO LEVI D’ANCONACARLOS ARTURO LEVI D’ANCONA More articles by this author , VALDIR TADINIVALDIR TADINI More articles by this author , and NELSON RODRIGUES NETTONELSON RODRIGUES NETTO More articles by this author View All Author Informationhttps://doi.org/10.1097/01.ju.0000067472.94016.e8AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluated the 12-month followup outcome of the Macroplastique (Uroplasty, Minneapolis, Minnesota) implantation system for the treatment of stress urinary incontinence caused by intrinsic sphincter deficiency using objective and subjective measures, including quality of life impact. Materials and Methods: A total of 21 consecutive women with a mean age of 47.4 years and a mean body mass index of 25.65 kg./m.2 in whom intrinsic sphincter deficiency was urodynamically diagnosed were enrolled in the study. Patients were preoperatively assessed by physical examination, quality of life questionnaire, Stamey grading of incontinence, pad use, pad weight test and urodynamic testing. Patients underwent periurethral injection under local anesthesia with the Macroplastique implantation system. The mean volume of silicone elastomers injected was 6.3 ml. Results: As assessed by the King health questionnaire, patient quality of life improved in all domains and in most lower urinary tract symptoms. Patient satisfaction and subjective surgeon evaluation were assessed by Stamey incontinence grading. From patient point of view 12 (57.1%) considered themselves cured, 4 (19%) were improved and 5 (23.8%) had failure. According to subjective surgeon grading 8 patients (38.1%) were considered cured 6 (28.6%) were improved and 7 (33.3%) had failure. Pad use decreased from a mean of 4.38 to 1.29 units daily. According to the pad weight test 13 patients (62%) were dry, 4 (19%) were improved and 4 (19%) had failure. Urodynamic testing demonstrated that 8 patients (40%) were dry and 1 (5%) was improved. Conclusions: The Macroplastique implantation system proved to have an acceptable outcome for patient and surgeon. The procedure can be done with local anesthesia and without cystoscopic guidance. References 1 : A new questionnaire to assess the quality of life of urinary incontinent women. Br J Obstet Gynaecol1997; 104: 1374. Google Scholar 2 : Prevalence of urinary incontinence. Br Med J1980; 281: 1243. Google Scholar 3 : Peri-urethral silicone microimplants (Macroplastique) for the treatment of genuine stress incontinence. Br J Urol1996; 78: 722. 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Google Scholar From the Division of Urology, Faculdade de Ciências Médicas da Universidade Estadual de Campinas-Unicamp and Hospital Maternidade “Leonor Mendes de Barros,” São Paulo, Brazil© 2003 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited ByGhoniem G, Corcos J, Comiter C, Westney O and Herschorn S (2018) Durability of Urethral Bulking Agent Injection for Female Stress Urinary Incontinence: 2-Year Multicenter Study ResultsJournal of Urology, VOL. 183, NO. 4, (1444-1449), Online publication date: 1-Apr-2010.Ghoniem G, Corcos J, Comiter C, Bernhard P, Westney O and Herschorn S (2018) Cross-Linked Polydimethylsiloxane Injection for Female Stress Urinary Incontinence: Results of a Multicenter, Randomized, Controlled, Single-Blind StudyJournal of Urology, VOL. 181, NO. 1, (204-210), Online publication date: 1-Jan-2009. Volume 169Issue 6June 2003Page: 2229-2233 Advertisement Copyright & Permissions© 2003 by American Urological Association, Inc.Keywordsinjectionsurethraurinary incontinence, stressquality of lifesiliconesMetricsAuthor Information JOSÉ TADEU NUNES TAMANINI More articles by this author CARLOS ARTURO LEVI D’ANCONA More articles by this author VALDIR TADINI More articles by this author NELSON RODRIGUES NETTO More articles by this author Expand All Advertisement PDF DownloadLoading ...
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