Resumen

LANZ, José Antonio et al. Mini cincha suburetral con anestesia local para cura de incontinencia urinaria de esfuerzo. Rev Obstet Ginecol Venez [online]. 2015, vol.75, n.2, pp.091-096. ISSN 0048-7732.

Objectives: To evaluate the cure of stress urinary incontinence with mini sling and local anesthesia without sedation, taking into account tolerability and efficacy in the short term. Methods: We included 18 patients with clinical and urodynamic urinary incontinence, to whom a mini sling Miniarc® or Ophira^® was placed under local lidocaine, being postoperative evalued at 24 hours,15 days, 1 and 3 months. Results: Of the 18 patients selected, 2 were excluded for showing high pressure values during the procedure, from the remaining 16, 1 could not be assessed by visual analog scale for pain, because present edanxiety and given conscious sedation with midazolam during the procedure. 9 patients had stress urinary incontinence type I and 7 had stress urinary incontinence type II , with 100 % objective cure. The average dose of lidocaine 2 % was 16.72 cm3 and operating time was 8.58 minutes with visual analog scale for pain intraoperative 0.4 points and 0 Points after 24 hours. The extrusion was the only post operative complication observed (6.25 %) which reversed using local estrogen for 2 months. Conclusions: The mini sling with local anesthesia represent an alternative to treat stress urinary incontinence, it is a well tolerated procedure, with low rate of complications and good efficacy.

Palabras clave : Stress urinary incontinence.

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