Prospective analysis of the Dynamic Intraoperative Standing Sling Technique a novel method of performing the single-incision sling procedure
Journal of Gynecologic Surgery
Objective: The aim of this research was to assess the 1-year success of the Dynamic Intraoperative Standing Sling Technique™ (DISST™) for the management of stress urinary incontinence (SUI).
Materials and Methods: For this prospective cohort analysis, 85 subjects with SUI underwent the DISST. Success of the DISST was assessed in most of these subjects at 1 year.
Results: Seventy-eight subjects (91.8%) were followed at least 1 year after they had the procedure. Subjective success was 97.4%, and no subject needed retreatment for persistent SUI. The mean operative time was 43.1 ± 9 minutes. There was significant improvement in the Medical Epidemiologic and Social Aspects of Aging URGE subscore as well. Sexual function was also influenced favorably by the DISST, with reductions noted in fear of incontinence, actual incontinence during intercourse, and pain during intercourse. There were no injuries to the bladder or the urethra, and there were no cases of vaginal-sling erosions. There were also no cases of voiding dysfunction, no need for sling release, nor frequent urinary-tract infections.
Conclusions: The DISST showed good success for the management of SUI. Long-term results are awaited.
Salil Khandwala.Journal of Gynecologic Surgery.Apr 2019.105-111.http://doi.org/10.1089/gyn.2018.0073 Published in Volume: 35 Issue 2: March 27, 2019 Online Ahead of Print:January 22, 2019