Resumen

PARDO S, Jack; SOLA D, Vicente  y  RICCI A, Paolo. EXPERIENCIA PRELIMINAR CON CINTA DE TERCERA GENERACIÓN EN EL TRATAMIENTO DE LA INCONTINENCIA DE ORINA DE ESFUERZO: MINIARC. Rev. chil. obstet. ginecol. [online]. 2009, vol.74, n.4, pp.253-258. ISSN 0048-766X.  http://dx.doi.org/10.4067/S0717-75262009000400009.

Background: During the last decade we observed the development of numerous surgical techniques to treat stress urinary incontinence (SUI). One of these techniques is the MiniArc. Objective: To determine the efficacy and safety of the surgical treatment of SUI by MiniArc. Method: Prospective study of short follow-up, of 24 women admitted in the Urogynecology of Clínica Las Condes, between April 2008 and April 2009. Inclusion criteria: SUI at least for one year and permanent, objectified through a mono channel urodynamic. All women should have urethral hyper mobility and urinary incontinence type II or II + III. In cases with genital prolapse, it should not be the primary indication for surgery. Exclusion criteria: Antecedent of surgery for SUI and/or for genital prolapse. Results: The surgical time media of 8 minutes. The preliminary follow-up was between 1 and 13 months, media 6 months. There were no complications during the MiniArc application. In the immediate postoperative period there was a case of urethral obstruction. During the third month, there was a case of mild novo urge incontinence, which was resolved spontaneously after one month. At 30 days after surgery in 23 (95.8%) cure was registered, improvement in 1 (4.2%) and cases of failure not were observed. Conclusions: In selected patients, MiniArc is safe and effective in the treatment of SUI. The incorporation of new patients to these protocols and long term follow-up will determine the persistence of these good results.

Palabras clave : Stress urinary incontinence; sub-mid urethra mesh; surgical treatment.

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