Chen YG, Zhang YG, Zhang W, Li X, Wang X. Clinical value of needleless sling in treatment of female stress urinary incontinence. World J Clin Cases 2020; 8(18): 4043-4050 [PMID: 33024761 DOI: 10.12998/wjcc.v8.i18.4043]
Corresponding Author of This Article
Xia Wang, BM BCh, Nurse, Nursing Department, Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, No. 1 Dongdan Dahua Road, Dongcheng District, Beijing 100730, China. wangxiagreat@sina.com
Research Domain of This Article
Nursing
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Sep 26, 2020; 8(18): 4043-4050 Published online Sep 26, 2020. doi: 10.12998/wjcc.v8.i18.4043
Clinical value of needleless sling in treatment of female stress urinary incontinence
Yu-Guo Chen, Yao-Guang Zhang, Wei Zhang, Xin Li, Xia Wang
Yu-Guo Chen, Dressing Room of Surgical Outpatient, Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China
Yao-Guang Zhang, Wei Zhang, Department of Urology, Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China
Xin Li, Xia Wang, Nursing Department, Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China
Author contributions: Chen YG and Zhang YG contributed equally to this work and should be considered as co-first authors; Zhang W and Zhang YG performed the operation; Chen YG and Li X designed this retrospective study; Chen YG wrote the paper; Zhang YG was responsible for sorting the data.
Institutional review board statement: The study was reviewed and approved by the Beijing Hospital Institutional Review Board.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: Dr. Wang X reports a grant from National Key Research Program of China (No. 2018YFC2002202) during the conduct of the study, and other authors have no conflicts of interest to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Xia Wang, BM BCh, Nurse, Nursing Department, Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, No. 1 Dongdan Dahua Road, Dongcheng District, Beijing 100730, China. wangxiagreat@sina.com
Received: April 8, 2020 Peer-review started: April 8, 2020 First decision: April 28, 2020 Revised: May 12, 2020 Accepted: August 12, 2020 Article in press: August 12, 2020 Published online: September 26, 2020 Processing time: 166 Days and 17.5 Hours
Abstract
BACKGROUND
Stress urinary incontinence (SUI) is a common disease in women. The emergence of the needle-free sling has led to a new clinical treatment for SUI in women.
AIM
To explore the clinical value of the needleless sling without acupuncture in the treatment of SUI in women.
METHODS
From February 2017 to November 2018, according to the order of admission, 44 patients (mid-suspension group) were treated by tension-free transobturator urethral suspension, and 44 patients (non-acupuncture group) were treated with a needleless non-acupuncture band. The clinical effects of the two treatments were evaluated.
RESULTS
There was no significant difference between the two groups in the total clinical effectiveness rate (P = 0.374), but intraoperative blood loss and visual analogue scale score at postoperative day 1 were significantly lower in the non-acupuncture suspension group than in the middle urethral suspension group (P = 0.396). The incidence of complications in the needle-free sling group was significantly lower than that in the middle urethral suspension group (P = 0.025).
CONCLUSION
The clinical effectiveness of acupuncture-free suspension in treating SUI in female patients is better than that of traditional tension-free transobturator mid-urethral suspension.
Core Tip: Stress urinary incontinence (SUI) is mainly characterized by the involuntary overflow of urine when there is a sudden rise in abdominal pressure caused by actions such as coughing, laughing, and exertion, and it does not persist in daily life. At present, there are many methods available for SUI, such as life feedback training and pelvic floor muscle function exercises. However, these kinds of treatment are time-consuming and have highly variable curative effects. In this study, the clinical value of the needleless sling without acupuncture in the treatment of SUI in women was analyzed.
