Procedimiento Cabestrillo Autólogo versus Sintético: Tasa de éxito y frecuencia de obstrucción del tracto urinario inferior
Autologous versus Synthetic sling procedure: Success rate and bladder outlet obstruction rates
A. Ricardo1
, Natalin, Cassio Riccetto, Renato Nardi Pedro, Alessandro Prudente, Guillermo Salvador Navarrete, C. Paulo, Rodrigues Palma
Autor para correspondencia
ppalma@uol.com.br
Correspondencia autor: Dr. Paulo C. Rodrigues Palma Departamento de Urología Cidade Universitária “Zeferino Vaz” Rua: Tessália Vieira de Camargo, 126 CEP: 13083-887 Campinas - SP - Brasil. Tel: +55 19 3521 7486.
Correspondencia autor: Dr. Paulo C. Rodrigues Palma Departamento de Urología Cidade Universitária “Zeferino Vaz” Rua: Tessália Vieira de Camargo, 126 CEP: 13083-887 Campinas - SP - Brasil. Tel: +55 19 3521 7486.
Departamento de Urología. Universidad Estatal de Campinas - UNICAMP - Brasil.
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Universidad Estatal de Campinas - UNICAMP - Brasil." ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dr. Paulo C. Rodrigues Palma Departamento de Urología Cidade Universitária “Zeferino Vaz” Rua: Tessália Vieira de Camargo, 126 CEP: 13083-887 Campinas - SP - Brasil. Tel: +55 19 3521 7486." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Autologous versus Synthetic sling procedure: Success rate and bladder outlet obstruction rates" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-06-30" "fechaAceptado" => "2008-07-31" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras claves" "identificador" => "xpalclavsec88826" "palabras" => array:5 [ 0 => "Cabestrillo" 1 => "Sling" 2 => "autólogo Sintético" 3 => "Malla" 4 => "Incontinencia urinaria" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec88825" "palabras" => array:5 [ 0 => "Sling" 1 => "Autologous" 2 => "Synthetic" 3 => "Mesh" 4 => "Urinary incontinence" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Disfunción en el vaciamiento y retención urinaria son complicaciones frecuentes del cabestrillo. Recientemente se han incluido en el arsenal para el soporte sub-uretral, suministros sintéticos tales como la malla de polipropilenol.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se llevó a cabo un Estudio prospectivo no aleatorizado. El procedimiento cabestrillo se realizó en 436 pacientes consecutivos con IUE (Incontinencia Urinaria de Esfuerzo). Las pacientes fueron divididas en grupos según el tipo de malla, en autólogos 210 y 226 sintéticos. Las pacientes fueron evaluadas en cuanto a condición de vaciamiento, continencia y satisfacción. Los resultados quirúrgicos fueron evaluados en función de la clasificación de Blaivas. Se consideró significativo p<0,05.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La media de edad fue 48,4 años. El tiempo medio operatorio para los Cabestrillo autólogos fue de 107,6 minutos frente a 20,6 min para el sintético. El promedio de hospitalización fue de 36 horas para autólogos frente a 24 horas para los sintéticos y la media de seguimiento fue de 25 meses. Se encontró 87,1% y 92,9% de las pacientes continentes en los grupos autólogos y sintéticos, respectivamente. Fallo en el procedimiento se presentó en un 7% en el grupo autólogo y 4,8% en el sintético (p=0,1961). La tasa global de obstrucción del tracto urinario inferior fue de 4,5% (20/436), cuando se analizó por grupos, encontramos en el grupo autólogo una tasa de 8,5% (18/210), en comparación con el 0,9% en el grupo sintético (2/226) (p=0,000126).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Cabestrillos autólogos y sintéticos presentan las tasas de éxito comparables, sin embargo la obstrucción del tracto urinario inferior fue más común entre las pacientes tratadas con fascias autólogas.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Voiding dysfunction and urinary retention were frequent complications of sling. More recently synthetic supplies such as polypropylene mesh have been included in the armamentarium for sub urethral support.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A prospective non randomized study was conducted. Sling procedure was performed in 436 consecutive patients with SUI. Patients were divided in groups according to mesh type, being 210 on autologous and 226 on synthetic. Patients were surveyed on voiding condition, continence and satisfaction. Surgical results were assessed according to Blaivas classification. Results were considered significant p<0.05.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Mean patient age was 48,4years. Mean operative time for autologous sling was of 107,6 min versus 20,6min for synthetic. Mean hospitalization was 36h on autologous versus 24h on synthetic and mean follow up was 25 months. We found 87,1% and 92,9% of patients continent in autologous and synthetic group, respectively. Failure was presented by 7% in autologous and 4,8 % in synthetic group (p=0.1961). The global rate of BOO was of 4,5 % (20/436), when analysed by groups we found on autologous a rate of 8.5% (18/210), compared to 0.9% on synthetics (2/226) (p=0.000126).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Autologous and synthetic slings presented comparable success rates, however BOO was more common among patients treated by autologous slings.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:19 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 0 | 1 | 1 |
| 2024 Octubre | 0 | 12 | 12 |
| 2024 Septiembre | 0 | 12 | 12 |
| 2024 Agosto | 0 | 7 | 7 |
| 2024 Julio | 0 | 10 | 10 |
| 2024 Junio | 1 | 20 | 21 |
| 2024 Mayo | 0 | 13 | 13 |
| 2024 Abril | 0 | 28 | 28 |
| 2024 Marzo | 0 | 39 | 39 |
| 2024 Febrero | 0 | 17 | 17 |
| 2024 Enero | 0 | 23 | 23 |
| 2023 Diciembre | 0 | 16 | 16 |
| 2023 Noviembre | 0 | 26 | 26 |
| 2023 Octubre | 0 | 45 | 45 |
| 2023 Septiembre | 0 | 17 | 17 |
| 2023 Agosto | 0 | 25 | 25 |
| 2023 Julio | 0 | 20 | 20 |
| 2023 Junio | 0 | 13 | 13 |
| 2023 Mayo | 0 | 4 | 4 |
| 2023 Abril | 0 | 3 | 3 |
| 2023 Marzo | 1 | 10 | 11 |
| 2023 Febrero | 0 | 7 | 7 |
| 2023 Enero | 0 | 5 | 5 |
| 2022 Diciembre | 0 | 8 | 8 |
| 2022 Noviembre | 0 | 13 | 13 |
| 2022 Octubre | 0 | 11 | 11 |
| 2022 Septiembre | 0 | 21 | 21 |
| 2022 Agosto | 0 | 20 | 20 |
| 2022 Julio | 0 | 5 | 5 |
| 2022 Junio | 0 | 13 | 13 |
| 2022 Mayo | 0 | 5 | 5 |
| 2022 Abril | 0 | 7 | 7 |
| 2022 Marzo | 0 | 7 | 7 |
| 2022 Febrero | 0 | 8 | 8 |
| 2022 Enero | 0 | 6 | 6 |
| 2021 Diciembre | 0 | 10 | 10 |
| 2021 Noviembre | 0 | 8 | 8 |
| 2021 Octubre | 0 | 5 | 5 |
| 2021 Septiembre | 0 | 2 | 2 |
| 2021 Agosto | 0 | 1 | 1 |
| 2021 Julio | 0 | 1 | 1 |
| 2021 Junio | 0 | 3 | 3 |
| 2021 Mayo | 0 | 5 | 5 |
| 2021 Marzo | 0 | 3 | 3 |
| 2021 Febrero | 0 | 7 | 7 |
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| 2020 Octubre | 0 | 2 | 2 |
| 2020 Septiembre | 0 | 3 | 3 |
| 2020 Agosto | 0 | 7 | 7 |
| 2020 Julio | 0 | 1 | 1 |
| 2020 Junio | 0 | 3 | 3 |
| 2020 Mayo | 0 | 6 | 6 |
| 2020 Abril | 0 | 4 | 4 |
| 2020 Marzo | 0 | 2 | 2 |
| 2020 Febrero | 0 | 4 | 4 |
| 2020 Enero | 0 | 14 | 14 |
| 2019 Diciembre | 0 | 19 | 19 |
| 2019 Noviembre | 0 | 4 | 4 |
| 2019 Octubre | 0 | 8 | 8 |
| 2019 Septiembre | 0 | 3 | 3 |
| 2019 Agosto | 0 | 10 | 10 |
| 2019 Julio | 0 | 11 | 11 |
| 2019 Junio | 0 | 33 | 33 |
| 2019 Mayo | 0 | 59 | 59 |
| 2019 Abril | 0 | 39 | 39 |
| 2019 Marzo | 0 | 6 | 6 |
| 2019 Febrero | 0 | 12 | 12 |
| 2019 Enero | 0 | 8 | 8 |
| 2018 Diciembre | 0 | 15 | 15 |
| 2018 Noviembre | 0 | 14 | 14 |
| 2018 Octubre | 1 | 24 | 25 |
| 2018 Septiembre | 0 | 3 | 3 |
| 2018 Agosto | 0 | 1 | 1 |
| 2018 Junio | 0 | 1 | 1 |
| 2018 Mayo | 0 | 1 | 1 |
| 2018 Abril | 0 | 2 | 2 |
| 2018 Marzo | 0 | 1 | 1 |
| 2018 Febrero | 1 | 0 | 1 |
| 2018 Enero | 2 | 1 | 3 |
| 2017 Diciembre | 1 | 6 | 7 |
| 2017 Noviembre | 3 | 7 | 10 |
| 2017 Octubre | 4 | 6 | 10 |
| 2017 Septiembre | 7 | 11 | 18 |
| 2017 Agosto | 3 | 8 | 11 |
| 2017 Julio | 6 | 5 | 11 |
| 2017 Junio | 17 | 7 | 24 |
| 2017 Mayo | 9 | 14 | 23 |
| 2017 Abril | 11 | 5 | 16 |
| 2017 Marzo | 11 | 41 | 52 |
| 2017 Febrero | 14 | 8 | 22 |
| 2017 Enero | 17 | 6 | 23 |
| 2016 Diciembre | 29 | 18 | 47 |
| 2016 Noviembre | 35 | 17 | 52 |
| 2016 Octubre | 34 | 22 | 56 |
| 2016 Septiembre | 16 | 6 | 22 |
| 2016 Agosto | 14 | 2 | 16 |
| 2016 Julio | 17 | 5 | 22 |
| 2016 Junio | 26 | 17 | 43 |
| 2016 Mayo | 26 | 26 | 52 |
| 2016 Abril | 15 | 37 | 52 |
| 2016 Marzo | 11 | 15 | 26 |
| 2016 Febrero | 11 | 20 | 31 |
| 2016 Enero | 8 | 29 | 37 |
| 2015 Diciembre | 16 | 14 | 30 |
| 2015 Noviembre | 24 | 9 | 33 |
| 2015 Octubre | 21 | 11 | 32 |
| 2015 Septiembre | 16 | 7 | 23 |
| 2015 Agosto | 11 | 5 | 16 |
| 2015 Julio | 20 | 8 | 28 |
| 2015 Junio | 7 | 4 | 11 |
| 2015 Mayo | 11 | 6 | 17 |
| 2015 Abril | 13 | 9 | 22 |
| 2015 Marzo | 7 | 4 | 11 |
| 2015 Febrero | 10 | 9 | 19 |
| 2015 Enero | 18 | 1 | 19 |
| 2014 Diciembre | 23 | 8 | 31 |
| 2014 Noviembre | 11 | 2 | 13 |
| 2014 Octubre | 39 | 5 | 44 |
| 2014 Septiembre | 21 | 2 | 23 |
| 2014 Agosto | 17 | 3 | 20 |
| 2014 Julio | 16 | 2 | 18 |
| 2014 Junio | 19 | 2 | 21 |
| 2014 Mayo | 19 | 2 | 21 |
| 2014 Abril | 4 | 6 | 10 |
| 2014 Marzo | 10 | 11 | 21 |
| 2014 Febrero | 3 | 2 | 5 |
| 2014 Enero | 7 | 4 | 11 |
| 2013 Diciembre | 7 | 2 | 9 |
| 2013 Noviembre | 9 | 3 | 12 |
| 2013 Octubre | 4 | 27 | 31 |
| 2013 Septiembre | 4 | 16 | 20 |
| 2013 Agosto | 4 | 3 | 7 |
| 2013 Julio | 3 | 0 | 3 |
| 2009 Febrero | 325 | 0 | 325 |
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