Artículos de Needleless
1. Effects of Single Vaginal Incision Technique on Quality of Life in Women with Stress Urinary Incontinence.
Ates Karateke, MD, Cetin Cam, MD, Sule B. Ince, MD, Niyazi Tug, MD, Selcuk Selcuk, MD*, Mehmet R. Asoglu, MD, and Dogan Vatansever, MD
From the Division of Urogynecology, Department of Obstetrics and Gynecology, Zeynep Kamil Women’s Hospital, Istanbul, Turkey (all authors).
Early clinical results of the present trial demonstrate that the ContaSure Needleless System seems to be capable of improving significantly all aspects of quality of life in women with incontinence. To improve the willingness for treatment of women with stress incontinence, this minimally invasive technique should be encouraged after confirming its efficacy in larger prospective, randomized, comparative trials. Journal of Minimally Invasive Gynecology (2011) 18, 634–639 2011
AAGL. All rights reserved.
2. A retrospective review of surgical morbidity and long-term patient satisfacction with two sub-urethral slings for stress urinary incontinence: TVT-O versus Contasure Needleless (Single incision TOT).
M. ROGERS IV;
Mobile Infirmary Med. Ctr. Dept. of Obstetrics and Gynecology, MOBILE, AL.
The present data suggest that the TVT‐O and Needleless sling have the same surgical outcomes, and overall patient satisfaction is acceptable for both groups. As with all slings, patient satisfaction (success) seems to very gradually decrease over time, however, satisfaction with the Needleless sling is consistent with all of the long term data we have for other slings with those data available. The surgical pain scale shows a significantly lower incidence of pain with the Needleless group, so patient morbidity and recovery are favorably affected. We believe that our data show the Needleless sling is at least equal to the long term clinical efficacy of the TVT‐O. Given the significant decrease in patient morbidity, along with the cost savings compared with other slings, the Contasure Needleless sling remains an excellent first line choice for the treatment of Genuine Stress Urinary Incontinence.
3. Contasure-Needleless® single incision sling compared with transobturator TVT-O® for the treatment of stress urinary incontinence: long-term results.
Eva Martinez Franco & Lluís Amat Tardiu
Conclusion: Our experience and the results of the non-inferiority study ofthe C-NDL® compared with the TVT-O® demonstrate that it is a safe, reproducible technique and that it accomplishes the goal of minimally invasive surgery. High objective and subjective cure rates maintained at long-term follow-up indicate that C-NDL® is not inferior to TVT-O®; therefore, single incision tape should be considered in the armamentarium of clinicians who manage women with urodynamic stress incontinence.