Published online Sep 26, 2020. doi: 10.12998/wjcc.v8.i18.4043
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
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.
To explore the clinical value of the needleless sling without acupuncture in the treatment of SUI in women.
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.
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).
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.