Local anesthesia for Altis® single incision sling in women with stress urinary incontinence

• Published in: Minimally invasive therapy and allied technologies Vol. ahead-of-print; no. ahead-of-print; pp. 1 - 6
• Main Authors: Morciano, Andrea, Marzo, Giuseppe, Caliandro, Dario, Schiavi, Michele Carlo, Giaquinto, Alessia, Rappa, Carlo, Zullo, Marzio Angelo, Tinelli, Andrea, Scambia, Giovanni, Cervigni, Mauro
• Format: Journal Article
• Language: English
• Published: England Taylor & Francis 01.08.2023
• Subjects: Altis; local anesthesia; stress incontinence; urgency; urodynamics; urodynamics; local anesthesia; stress incontinence; Altis; urgency
• ISSN: 1364-5706; 1365-2931
• DOI: 10.1080/13645706.2023.2220382

Local anesthesia for single incision slings has shown a good objective and subjective cure rate in women with stress urinary incontinence. The aim of the present study was to verify the efficacy and safety of local anesthesia during Altis ® single incision placement. One hundred sixty-six consecutive patients (83 patients for each group: local resp. spinal anesthesia) were selected from our database for this retrospective study among women who underwent an Altis ® implantation for SUI from September 2016 to June 2021, after unsuccessful previous conservative treatment. Primary endpoints were objective and subjective cure rates; secondary endpoint was the evaluation of complications linked to this procedure. A total of 155 included patients completed our 12 months follow-up. Baseline characteristics were similar between the groups. Operative time (percentage difference of 50%; p < 0.05) and the Intraoperative Difficulty Scale resulted lower in spinal patients. No differences were found between populations in terms of objective (cough stress test and urodynamics) and subjective (PGI-I and FSDS questionnaires) cure rate and postoperative complications. Local anesthesia for Altis ® implantation could be considered a safe alternative to spinal anesthesia and an effective opportunity to avoid general anesthesia, increasing the possibility of outpatient implantation of this sling system.