title: The Ibero-American experience with a re-adjustable minimally invasive sling.
abstract: OBJECTIVE
  To report our experience with the Safyre (Promedon, Cordoba, Argentina), a new re-adjustable and minimally invasive sling for treating stress urinary incontinence (SUI), which combines the efficacy of slings with re-adjustability.
  
  
  METHODS
  In all, 126 consecutive patients with a clinical and urodynamic diagnosis of SUI had a Safyre sling procedure (mean age 63 years, range 40-71). Seventy-six patients (60%) presented after previous failed anti-incontinence procedures; all had a physical and clinical examination, a stress test, urodynamic study and assessment of pad use before the surgery. All the patients presented with symptoms of SUI and 37 (29%) also reported mild urgency.
  
  
  RESULTS
  The mean (range) follow-up was 18 (12-36) months, and the mean operative duration 25 min. Dystopia was repaired whenever necessary during the same procedure. The mean hospital stay was 24 h. In three implants (2%) the bladder was perforated. After surgery 26 patients (21%) developed urgency symptoms; during the follow-up 116 (92%) were continent, three (2%) reported an improvement and seven (6%) were dissatisfied.
  
  
  CONCLUSIONS
  The Safyre is a safe and quick procedure that allows for postoperative readjustment; this technique may be an attractive alternative if the good results obtained so far prove to be durable.
authors.affiliation: Division of Urology, Universidade Estadual de Campinas, UNICAMP, Cidade Universitária Zeferino Vaz, Campinas, SP, Brazil.
authors.forename: Paulo C R
authors.initials: PC
authors.lastname: Palma
authors.forename: Miriam
authors.initials: M
authors.lastname: Dambros
authors.forename: Cássio Z
authors.initials: CZ
authors.lastname: Riccetto
authors.forename: Marcelo
authors.initials: M
authors.lastname: Thiel
authors.forename: Nelson R
authors.initials: NR
authors.lastname: Netto
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007902:Length of Stay; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D011126:Polypropylenes / Q000627:therapeutic use*; D011182:Postoperative Care / Q000379:methods; D019736:Prostheses and Implants; D013526:Surgical Mesh; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*
chemical_list: D011126:Polypropylenes