Hypothesis / aims of study
Urinary incontinence is common among women and contributes to decreased quality of life. Several effective treatment options are
available for the most common types of UI (stress, urge, and mixed), including lifestyle and behavioral therapy, drug therapy, and
minimally invasive procedures. Most women improve with treatment, and UI is not an inevitable part of aging. To maximize the
opportunity for successful treatment, it is critical to align the treatment approach with patient goals and expectations for care,
including an assessment of patient-driven priorities regarding potential adverse effects, costs, and expected benefit of different
treatment approaches.
Study design, materials and methods
Our center between, February 2023 and may 2023 treated 5 women with stress urinary incontinence with exclusive method with
using biomaterial ( mesh made from allogenic biomaterial – alloplant). Surgery technic presented in attached video. Standard
position for pelvic surgery. At fist step we separate blager from abdominal wall and find the bladder neck .next step is uretral
preparing for passing we mesh around the uretra. And in the end we fix the mesh to anterior abdominal wall.
Interpretation of results
The results of the study indicate a successful implementation of a robot-assisted surgical technique for treating urinary incontinence, characterized by several key findings:
1. Surgical Success: The fact that the surgery was successful in all cases is a strong indicator of the efficacy of the robot-assisted method. This suggests that the procedure is not only technically feasible but also effective in achieving the intended surgical outcomes.
2. Median Operative Time: The median operative time of 36 minutes (±13 minutes) is relatively short for a surgical procedure of this nature. This efficiency can be attributed to the precision and control afforded by robotic assistance, which often allows for quicker and more streamlined operations compared to traditional methods.
3. No Leakage Post-Catheter Removal: The absence of leakage in all patients after catheter removal is a crucial outcome. It suggests that the surgical technique effectively restored urinary control and that there were no complications related to urinary leakage, which can be a significant concern following prostate surgery.
4. Urodynamic Examination: The performance of urodynamic examinations before and after surgery provides objective data on bladder function and urinary control. The results from these tests can help quantify the improvements achieved through the surgical intervention, further validating the effectiveness of the robot-assisted method.
5. Safety and Simplicity: The statement that the robot-assisted method is a "very perspective simple and safe surgery" highlights its potential advantages over traditional techniques, especially regarding the avoidance of synthetic materials. By not using synthetic materials, the risk of complications such as erosion, infection, or rejection associated with foreign bodies is minimized. This aspect enhances patient safety and may lead to better long-term outcomes.
6. Innovative Approach: The novel technique employed in this study represents an innovative approach to managing urinary incontinence. By utilizing robotic assistance, surgeons can achieve greater precision in anatomical reconstruction and tissue handling, which may contribute to improved functional outcomes.
Concluding message
In conclusion, the combination of successful surgeries, short operative times, effective restoration of urinary control, and a focus on safety and simplicity positions this robot-assisted method as a promising option for treating urinary incontinence. These results suggest that it could become a standard practice in urological surgery, offering patients a reliable solution with fewer associated risks.