Needleless sling in treatment of female stress urinary incontinence.

Clinical value of needleless sling in treatment of female stress urinary incontinence.:
Clinical value of needleless sling in treatment of female stress urinary incontinence.
World J Clin Cases. 2020 Sep 26;8(18):4043-4050
Authors: Chen YG, Zhang YG, Zhang W, Li X, Wang X
Abstract
BACKGROUND: Stress urinary incontinence (SUI) is a common disease in women. The emergence of the needle-free sling has led to a new clinical treatment for SUI in women.
AIM: To explore the clinical value of the needleless sling without acupuncture in the treatment of SUI in women.
METHODS: From February 2017 to November 2018, according to the order of admission, 44 patients (mid-suspension group) were treated by tension-free transobturator urethral suspension, and 44 patients (non-acupuncture group) were treated with a needleless non-acupuncture band. The clinical effects of the two treatments were evaluated.
RESULTS: There was no significant difference between the two groups in the total clinical effectiveness rate (P = 0.374), but intraoperative blood loss and visual analogue scale score at postoperative day 1 were significantly lower in the non-acupuncture suspension group than in the middle urethral suspension group (P = 0.396). The incidence of complications in the needle-free sling group was significantly lower than that in the middle urethral suspension group (P = 0.025).
CONCLUSION: The clinical effectiveness of acupuncture-free suspension in treating SUI in female patients is better than that of traditional tension-free transobturator mid-urethral suspension.

PMID: 33024761 [PubMed]