[MiniArc: preliminary prospective study on 72 cases]

P Debodinance, P Delporte
Journal de Gynécologie, Obstétrique et Biologie de la Reproduction 2009, 38 (2): 144-8

OBJECTIVES: To present a new mini-invasive tape requiring only a single incision, to assess the complications and short-term results.

MATERIALS AND METHODS: Prospective study of 72 patients with stress urinary incontinence. Were selected for the study patients with stress urinary incontinence with or without intrinsic sphincter deficiency and mixed urinary incontinence with a predominance of leaks to the effort. Patients were evaluated at 2 months of the intervention.

RESULTS: Isolated stress urinary incontinence for 58 patients, mixed incontinence for 14 and intrinsic sphincter deficiency for five. The complications per procedure revealed one bleeding over 100ml, one malaise vagal and a failure of the procedure. At 2 months, the authors found: two urgenturies de novo, one de novo micturition disorder, one erosion, one urinary tract infection and four lateral vaginal bands. The early objective results are overall 75.7% of dry patients (79.6% for pure SUI, 66.6% for IUE with ISD and 61.5% for mixed incontinence). The overall failure rate was 2.9%.

CONCLUSION: The results of this simplified tape are worse than those of TVT and transobturator tapes.

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