title: Outpatient surgical treatment of female stress urinary incontinence under local anesthesia-sedation with contrasure needleless incision.
abstract: OBJECTIVE
  To evaluate the results obtained from out-patient surgical treatment of female stress urinary incontinence (SUI) with the use of trans-obturator tape (TOT) of a single Contrasure-Needleless incision (Neomedic-International).
  
  
  METHODS
  We performed an intervention with local anesthesia-sedation in outpatient regime between January 2007 to December 2011 on 96 patients affected by SUI using the placement of Needleless tension-free suburethral sling. Inclusion and discharge criteria and the results obtained as well as satisfaction grade were evaluated by a questionnaire. All the patients underwent a stress test, urodynamic study and quality of life questionnaire (ICIQ-SF) prior to and at least 3 months after the intervention.
  
  
  RESULTS
  Tolerance to the procedure was good. Surgical time was less than 10 minutes and stay in the hospital up to discharge less than 2hours. The results obtained are superimposable to those reached with epidural anesthesia and hospitalization, the grade of satisfactions with the treatment received being superior to 90%.
  
  
  CONCLUSIONS
  Almost all of the patients affected are candidates for inclusion in an outpatient surgery program. This noticeably improves the cost-efficacy ratio, without decreasing the health care or grade of satisfaction. Furthermore, the Contasure-Needleless system fulfills the criteria for minimally invasive surgery, providing better stability of the sling than the third generation "minibands" due to the greater length of the mesh and less post-operative pain regarding the conventional TOT as no cutaneous incisions are required.
authors: Unidad de Urodinámica, Servicio de Urología, Hospital Universitario Casa de la Salud, Universidad Católica San Vicente Mártir, Valencia, España.
authors: V
authors: V
authors: Navalón
authors: Unidad de Urodinámica, Servicio de Urología, Hospital Universitario Casa de la Salud, Universidad Católica San Vicente Mártir, Valencia, España. Electronic address: pedronavalon@yahoo.com.
authors: P
authors: P
authors: Navalón
authors: Unidad de Urodinámica, Servicio de Urología, Hospital Universitario Casa de la Salud, Universidad Católica San Vicente Mártir, Valencia, España.
authors: Y
authors: Y
authors: Pallás
authors: Unidad de Urodinámica, Servicio de Urología, Hospital Universitario Casa de la Salud, Universidad Católica San Vicente Mártir, Valencia, España.
authors: F
authors: F
authors: Ordoño
authors: Unidad de Urodinámica, Servicio de Urología, Hospital Universitario Casa de la Salud, Universidad Católica San Vicente Mártir, Valencia, España.
authors: E
authors: E
authors: Monllor
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures; D000772:Anesthesia, Local; D016292:Procedural Sedation; D005260:Female; D006801:Humans; D008875:Middle Aged; D053825:Suburethral Slings; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods
keywords: Anestesia local; Cabestrillo transobturatriz; Cirugía mayor ambulatoria; Incontinencia urinaria de esfuerzo; Local anesthesia; Outpatient major surgery; Stress urinary incontinence; Transobturator tape