Short-term outcomes with the Ajust™ system: a new single incision sling for the treatment of stress urinary incontinence.
OBJECTIVE
To evaluate the efficacy and safety of the minimally invasive Ajust™ system in the treatment of stress urinary incontinence.


METHODS
This was a prospective multicentre study. All patients with primary urodynamic stress urinary incontinence were prospectively selected to receive the Ajust™ procedure. The International Consultation on Incontinence-Short Form (ICI-SF), Women Irritative Prostate Symptoms Score (W-IPSS), PGI-S, and PGI-I questionnaires were used to evaluate the impact of incontinence and voiding dysfunction on QoL and to measure patient's perception of incontinence severity and improvement.


RESULTS
From January 2009 to October 2009, 111 consecutive subjects were enrolled in the study. At 6 months, 102 were available for outcomes analysis. The subjective and objective cure rates were 85.7% and 91.4%, respectively. The ICI-SF and W-IPSS questionnaires showed a statistical significant improvement in symptom scores.


CONCLUSIONS
In the short-term follow-up, the Ajust™ system was effective in restoring continence in more than 85% of subjects with a highly significant improvement in QoL.
Meschia
Michele
M
Department of Obstetrics and Gynecology, Ospedale G. Fornaroli, Magenta, Milan, Italy. m.meschia@libero.it
Barbacini
Pietro
P
Baccichet
Roberto
R
Buonaguidi
Arturo
A
Maffiolini
Marco
M
Ricci
Luisa
L
Braghin
Chiara
C
Brusati
Valentina
V
Dell'Utri
Chiara
C
Spreafico
Lorenzo
L
D000328:Adult; D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*
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