CONTASURE-NEEDLELESS® COMPARED WITH TRANSOBTURATOR-TVT® FOR THE TREATMENT OF STRESS URINARY INCONTINENCE: LONG-TERM RESULTS
Dr.Lluis Amat,Dr.Eva Martinez; University Hospital Sant Joan de Déu, Barcelona, Spain
Number of patients: 239
Mean Follow up: minimum of 3 years
Success rate: 84.7% (C-NDL) – 88.9%(TVT-O). The authors reject the hypothesis of inferiority in favour of the alternative hypothesis of noninferiority. C-NDL® is not inferior to TVT-O®
Conclusions: Our experience and the results of the non-inferiority study of the C-NDL® (Contasure –Needleless) compared with the TVT-O® demonstrate that it is a safe, reproducible technique and that it accomplishes the goal of minimally invasive surgery. High objective and subjective cure rates maintained at long-term follow-up indicate that C-NDL® is not inferior to TVT-O®; therefore, single incision tape should be considered in the armamentarium of clinicians who manage women with urodynamic stress incontinence.
Int Urogynecol J
International Urogynecological Journal—June 26, 2014
As part of the Scientific Program during the congress AAGL International Congress on Minimally Invasive Gynaecological Surgery there will be an Oral Presentation by dr. Ana Lopez Carrasco about the AGERS system, a Minimally Invasive Treatment for the Rokitansky Syndrome.
Neomedic International is proud to continue developing unique devices like the Needleless system, a Minimally Invasive System for Female SUI and the MIPS System for Pelvic Organ Prolapse.
Neomedic International will be at the AAGL Congress in Barcelona next week and we would be very glad to welcome you at our booth.
Visit us at our booth number 21 to learn more about our solutions for pelvic floor disorders.
12 years from the first implant of Male Remeex System
During the EAU Congress in Stockholm in April 2014, A.Sousa MD presented his study 12 years from the first implant of Male Remeex System as part of the Scientific Program.
The aim of this study was to evaluate safety, efficacy and durability of the MRS including how many post operative adjustments were required to achieve continence.
Original 20 cases of Male Remeex System have a mean follow up of 10 years while the whole group of 68 patients has a mean follow up of 7.4 years.
The conclusion of this study is that the follow up data of 6.4 years showed a high success rates due to the possibility to adjust the tension of the device, at anymoment during patients lifetime. Post operative complications were mild and transient.
Three failed intervention for Urinary Incontinence
Since some years ago, Mrs. Alice Bird was suffering from Stress Urinary Incontinence. She underwent three failed sling intervention. She had no hope to get cured, she thought that her problem didn’t have a solution. Finally she change to another surgeon, Dr. Charles Feinstein (Chicago) and he recommend her to treat her problem with the Remeex System.
The solution to avoid failures
The Remeex System is the Lifetime Adjustable sling for Stress Incontinence. With this sling, surgeon places the sling under the urethra, and 24-48 hours after the intervention he easily adjusts the sling urethral support, with the patient performing efforts (coughing) that drive her to incontinence, so doctor will give the exact needed sling tension to achieve continence.
A good solution for Vault Prolapse
Laparoscopic Sacrocolpopexy is one of the most recommended solutions for Vaginal Vault Prolapse treatment. This is an intervention which involves supporting the vault of the vagina to the sacrum promontorium, by using a synthetic mesh.
It is a minimally invasive intervention, with good post-op for the patient, but it has the disadvantage that surgeon must suture three times inside the body. Suturing by laparoscopy is one of those complicated things that surgeons prefer to avoid, so suturing three times in the same surgery is an important loss of time and energy that everyone would like to save.
Uplift: Laparoscopic Sacrocolpopexy with an anchoring device
The Uplift System is designed to correct Vault Prolapse with less suturing than normal laparoscopic solutions. Surgeon can attach easily anchors to the sacrum promontorium, saving suturing time during the surgery. The anchors are tipless and atraumatic and they provide with a reliable mesh promonto fixation.
Another interesting feature of the Uplift System is that surgeon is using a one-piece laser pre-cutted mesh, so he won’t need to cut the mesh during the intervention. Being laser pre-cutted means that the erosion risk will be lower, because the edges of the mesh will be softer than in a mesh cutted with scissors.