Resumen
La incontinencia urinaria es considerada un problema higiénico y social; la OMS estima que unos 200 millones de personas sufren de incontinencia urinaria. La primera línea de manejo es el tratamiento médico; sin embargo, cuando no hay mejoría o cuando la incontinencia es severa, el Gold Standard es el tratamiento quirúrgico mediante la implantación de cabestrillos uretrales. Los cabestrillos disponibles en la actualidad son los minicabestrillos y los cabestrillos mediouretrales estándar que incluyen las técnicas retropúbicas y transobturadoras. Por tal motivo, se realizó una revisión con el objetivo de brindar información sobre las tasas de curación, los tipos de técnicas de implantación, complicaciones e impacto en la calidad de vida de los cabestrillos uretrales como tratamiento para la incontinencia urinaria de esfuerzo no complicada en mujeres. MÉD.UIS. 2018;31(3):37-45.
Referencias
International Continence Society. Urology. 2003;61(1):37-49.
2. M Ruiz Ramos, et al. Consenso sobre terminología y conceptos de la función del tracto urinario inferior. Grupo Español de Urodinámica y de SINUG. Actas Urol Esp 2005;29(1):16-30.
3. Martínez-Torres J. Caracterización de mujeres en edad mediana con incontinencia urinaria y respuesta al tratamiento rehabilitador. Rev Cubana Obstet Ginecol. 2014;40(1):102-18.
4. Organización Panamericana de la Salud; Oficina Regional de la
Organización Mundial de la Salud. Guía de diagnóstico y manejo
de la Incontinencia Urinaria Parte II.
5. Castañeda-Biart I, Martínez-Torres J, García-Delgado J, Ruiz-
Valdés M. Aspectos epidemiológicos de la incontinencia urinaria
en pacientes femeninas de urología y ginecología. Rev Cub Urol.
2016;5(2):73-84.
6. Sagué Larrea JL. Incontinencia de esfuerzo en la mujer. En:
Urología. Cap14. La Habana: Editorial Ciencias Médicas; 2012.
7. Rueda R, Gaona J; Universidad Industrial de Santander;
Departamento de cirugía. Incontinencia urinaria. Guía para
estudiantes de Urología.
8. Hou JC, Lemack GE. The role of fascial slings in the treatment of
stress urinary incontinence in women: a 2013 update. Curr Urol
Rep. 2013;14(3):247-52.
9. Brubaker L, Richter HE, Norton PA, Albo M, Zyczynski HM,
Chai TC, et al. 5-year continence rates, satisfaction and adverse
events of Burch Urethropexy and fascial sling surgery for urinary
incontinence. J Urol. 2012;187(4):1324-30.
10. Cox A, Herschorn S, Lee L. Surgical management of female SUI:
is there a gold standard?. Nat Rev Urol. 2013;10(2):78–89.
11. Verghese T, Latthe P. Recent status of the treatment of stress
urinary incontinence. Int J Urol. 2014;21(1):25-31.
12. Bang S, Belal M. Autologous pubovaginal slings: back to the
future or a lost art?. Res Rep Urol. 2016;18(8):11-20.
13. Tantanasis T, Daniilidis A, Pantelis A, Chatzis P, Vranchnis
N. Minimally invasive techniques for female stress urinary
incontinence, how, why, when. Arch Gynecol Obstet.
2013;288(5):995-1001.
14. Schellart RP, Oude Rengerink K, Van der Aa F, Lucot JP, Kimpe
B, de Ridder D, et al. A randomized comparison of a singleincision
midurethral sling and a transobturator midurethral
sling in women with stress urinary incontinence: results of 12-
mo follow-up. Eur Urol. 2014;66(6):1179-85.
15. Laurikainen E, Valpas A, Aukee P, Kivelä A, Rinne K, Takala T, et
al. Five-year results of a randomized trial comparing retropubic
and transobturator midurethral slings for stress incontinence.
Eur Urol. 2014;65(6):1109-14.
16. Wai CY, Cuto TM, Zyczynski H, Stoddard AM, Burgio KL,
Brubaker L, et al. Patient satisfaction after midurethral sling
surgery for stress urinary incontinence. Obstet Gynecol.
2013;121(5):1009-16.
17. Tommaselli GA, D’Afiero A, Di Carlo C, Formisano C, Fabozzi
A, Nappi C. Tension-free vaginal tape-obturator and tensionfree
vaginal tape-Secur for the treatment of stress urinary
incontinence: a 5-year follow-up randomized study. Eur J Obstet
Gynecol Reprod Biol. 2015;185:151-5.
18. Bianchi-Ferraro AM, Jarmy-Di Bella ZI, Castro Rde A, Bortolini
MA, Sartori MG, Girão MJ. Single-incision sling compared with
transobturator sling for treating stress urinary incontinence: a
randomized controlled trial. Int Urogynecol J. 2013;24(9):1459-
65.
19. Albo ME, Litman HJ, Richter HE, Lemack GE, Sirls LT, Chai TC,
et al. Treatment success of retropubic and transobturator mid
urethral slings at 24 months. J Urol. 2012;188(6):2281-7.
20. Schierlitz L, Dwyer PL, Rosamilia A, Murray C, Thomas E, De
Souza A, et al. Three-year follow-up of tension-free vaginal tape
compared with transobturator tape in women with stress urinary
incontinence and intrinsic sphincter deficiency. Obstet Gynecol.
2012;119(2 Pt 1):321-7.
21. Ford AA, Rogerson L, Cody JD, Aluko P, Ogah JA. Mid-urethral
sling operations for stress urinary incontinence in women.
Cochrane Database Syst Rev. 2017;(7):1-284.
22. Ford AA, Ogah JA. Retropubic or transobturator mid-urethral
slings for intrinsic sphincter deficiency-related stress urinary
incontinence in women: a systematic review and meta-analysis.
Int Urogynecol J. 2016;27(1):19-28.
23. Shamout S, Campeau L. Stress urinary incontinence in women:
Current and emerging therapeutic options. Can Urol Assoc J.
2017;11(6 Suppl 2):S155-8.
24. Mostafa A, Lim CP, Hopper L, Madhuvrata P, Abbel-Fattah M.
Single-incision mini-sling versus standard midurethral slings
in surgical management of female stress urinary incontinence:
an updated systematic review and meta-analysis of effectiveness
and complications. Eur Urol. 2014;65(2):402-27.
25. Mostafa A, Agur W, Abdel-All M, Guerrero K, Lim C, Allam M, et
al. Multicenter prospective randomized study of single-incision
mini-sling vs tension-free vaginal tape-obturator in management
of female stress urinary incontinence: a minimum of 1-year
follow-up. Urology. 2013;82(3):552-9
26. Sharifiaghdas F, Nasiri M, Mirzaei M, Narouie B. Mini sling
(ophira) versus pubovaginal sling for treatment of stress urinary
incontinence: a medium-term follow-up. Prague Med Rep.
2015;116(3):210-8.
27. Barber M, Weidner A, Sokol A, Amundsen C, Jelovsek E, Karram
M. Single-incision mini-sling compared with tension-free
vaginal tape for the treatment of stress urinary incontinence:
a randomized controlled trial. Obstet Gynecol. 2012;119(2 Pt
1):328-37.
28. Nambiar A, Cody JD, Jeffery ST, Aluko P. Single-incision sling
operations for urinary incontinence in women . Cochrane
Database Syst Rev. 2017;(7):1-120.
29. Jurakova M, Huser M, Belkov I, Janku P, Hudecek R, Stourac P,
et al. Prospective randomized comparison of the transobturator
mid-urethral sling with the single-incision sling among women
with stress urinary incontinence: 1-year follow-up study. Int
Urogynecol J. 2016;27(5):791-6.
30. Grigoriadis C, Bakas P, Derpapas A, Crearsa M, Liapis A.
Tension-free vaginal tape obturator versus Ajust adjustable
single incision sling procedure in women with urodynamic
stress urinary incontinence. Eur J Obstet Gynecol Reprod Biol.
2013;170(2):563-6.
31. Nayak A. Advances in the SUI Surgeries. J Obstet Gynaecol
India. 2017;67(2):86–90.
32. Khan Z, Nambiar A, Morley R, Chapple CR, Emery SJ, Lucas MG.
Long-term follow-up of a multicentre randomised controlled trial
comparing tension-free vaginal tape, xenograft and autologous
fascial slings for the treatment of stress urinary incontinence in
women. BJU Int. 2015;115(6):968–77.
33. Palomba S, Falbo A, Oppedisano R, Torella M, Materazzo C,
Maiorana A, et al. A randomized controlled trial comparing three
single-incision minislings for stress urinary incontinence. Int
Urogynecol J. 2014;25(10):1333-41.
34. Lee JK, Rosamilia A, Dwyer P, Lim YN, Muller R. Randomized
trial of a single incision versus an outside-in transobturator
midurethral sling in women with stress urinary incontinence: 12
month results. Am J Obstet Gynecol. 2015;213(1):35.e1-9.
35. Andrada M, Larsson PG, Teleman P, Bergqvist CE, Persson
J. One-year results of a prospective randomized, evaluatorblinded,
multicenter study comparing TVT and TVT Secur. Int
Urogynecol J. 2013;24(2):223–9.
36. Tang X, Zhu L, Liang S, Lang J. Outcome and sexual function
after transobturator tape procedure versus tension-free vaginal
tape SECUR: a randomized controlled trial. Menopause.
2014;21(6):641-5.
37. Weltz V, Guldberg R, Lose G. Efficacy and perioperative safety of
synthetic mid-urethral slings in obese women with stress urinary
incontinence. Int Urogynecol J. 2015;26(5):641-8.
38. Brennand EA, Tang S, Williamson T, Birch C, Murphy M, Robert
M, et al. Twelve-month outcomes following midurethral sling
procedures for stress incontinence: impact of obesity. BJOG.
2015;122(12):1705-12.
39. Huser M, Belkov I, Janku P, Sedlakova K. Pregnancy and
delivery following midurethral sling surgery for stress urinary
incontinence. Int J Gynaecol Obstet. 2012;119(2):117-20.
40. Cavkaytar S, Kuntay M, Ozer I, Erkiline S, Seyfi O, Doganay M.
Effect of pregnancy and delivery on urinary incontinence after the
midurethral sling procedure. Int Urogynecol J. 2015;26(5):693-8.
41. Siff L, Jelovsek E, Barber M. The effect of major depression
on quality of life after surgery for stress urinary incontience:
a secondary analysis of the Trial of Midurethral Slings. Am J
Obstet Gynecol. 2016;215(4):455.e1-9.
42. Franzen K, Andersson G, Odeberg J, Midlov P, Samuelsson E,
Stenzelius K, et al. Surgery for urinary incontinence in women
65 years and older: a systematic review. Int Urogynecol J.
2015;26(8):1095-102.
43. Alwaal A, Tian X, Huang Y, Zhao L, Ma L, Lin G, et al. Female sexual function following mid-urethral slings for the treatment of stress urinary incontinence. Int J Impot Res. 2016;28(4):121-6.
44. Pastore A, Palleschi G, Al Salhi Y, Riganelli L, Fuschi A, Autieri D, et al. Evaluation of Sexual Function and Quality of Life in Women Treated for Stress Urinary Incontinence: Tension-Free Transobturator Suburethral Tape Versus Single-Incision Sling. J. womens health (Larchmt.). 2016;25(4):355-9.
45. Mostafa A, Phay C, Hopper L, Madhuvrata P, Abbel-Fattah M. Single-Incision Mini-Sling Versus Standard Midurethral Slings in Surgical Management of Female Stress Urinary Incontinence: An Updated Systematic Review and Meta-analysis of Effectiveness and Complications. Eur Urol. 2014;65(2):402-27.
46. Mostafa A, Agur W, Abdel-All M, Guerrero K, Lim C, Allam M. Multicenter Prospective Randomized Study of Singleincision Mini-sling Vs Tension-free Vaginal Tape-obturator in Management of Female Stress Urinary Incontinence: A Minimum of 1-Year Follow-up. Urology. 2013;82(3):552-9.
47. Zyczynski H, Rickey L, Dyer K, Wilson T, Stoddard A, Gormley
A, et al. Sexual activity and function in women more than 2
years after midurethral sling placement. Am J Obstet Gynecol.
2012;207(5):421.e1–421.e6.
48. Madhuvrata P, Riad M, Ammembal MK, Agur W, Abdel-Fattah
M. Systematic review and meta-analysis of “inside-out” versus
“outside-in” transobturator tapes in management of stress
urinary incontinence in women. Eur J Obstet Gynecol Reprod
Biol. 2012;162(1):1-10.
49. Szell N, Komisaruk B, Goldstein SW, Qu XH, Shaw M, Goldstein
I. A Meta-Analysis Detailing Overall Sexual Function and
Orgasmic Function in Women Undergoing Midurethral Sling
Surgery for Stress Incontinence. Sex Med. 2017;5(2):e84-e93.
50. Thiagamoorthy G, Srikrishna S, Cardoza L. Sexual function after
urinary incontinence surgery. Maturitas. 2015;81(2):243-7.
51. Blaivas JG, Purohit RS, Benedon MS, Mekel G, Stern M, Billah M,
et al. Safety considerations for synthetic sling surgery. Nat Rev
Urol. 2015;12(9):481-509.
52. Yonguc T, Gunlusoy B, Degirmenci T, Kozacioglu Z, Bozkurt
IH, Arslan B, et al. Are the outcomes of transobturator tape
procedure for female stress urinary incontinence durable in longterm
follow-up?. Int Urol Nephrol. 2014;46(7):1295-300.
53. Barboglio PG, Gormley EA. Retropubic versus transobturator
slings-are the outcomes changing with time?. Curr Urol Rep.
2013;14(5):386-94.
54. Sun X, Yang Q, Sun F, Shi Q. Comparison between the
retropubic and transobturator approaches in the treatment of
female stress urinary incontinence: a systematic review and
meta-analysis of effectiveness and complications. Int Braz J
Urol. 2015;41(2):220-9.
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Derechos de autor 2018 Revista Médicas UIS