{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T16:52:52Z","timestamp":1755795172720,"version":"3.44.0"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2021,5,20]],"date-time":"2021-05-20T00:00:00Z","timestamp":1621468800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>The study is amined to correlate the voiding pattern after successful mini sling Ophira implantation with postoperative symptoms and satisfaction, in addition to identifying obstructions.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Materials and methods:<\/jats:title>\n            <jats:p>From 2012 to 2015 in a single institution, all consecutive patients who had stress urinary incontinence treated by using the mini sling Ophira had a pre- and 12\u200amonths postoperative urodynamic test. The <jats:italic toggle=\"yes\">International Consultation on Incontinence Questionnaire \u2013 Urinary Incontinence \u2013 Short Form<\/jats:italic> (ICIQ-UI-SF) and the <jats:italic toggle=\"yes\">International Consultation on Incontinence Questionnaire \u2013 Overactive Bladder<\/jats:italic> (ICIQ-OAB) translated into Portuguese, were given. Patients were objectively considered cured when presenting no urinary incontinence at the Valsalva test and subjectively cured when the ICIQ-UI-SF was zero.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Questionnaire scores were obtained from 29 patients and urodynamic data from 20 patients. Mini sling Ophira implantation resulted in a significant improvement of urinary symptoms evidenced by a significant mean reduction in ICIQ-UI-SF from 16 to 5 (<jats:italic toggle=\"yes\">p<\/jats:italic>\u200a&lt;\u200a0.0001) and ICIQ-OAB from 8 to 4 (<jats:italic toggle=\"yes\">p<\/jats:italic>\u200a=\u200a0.0001). The subjective and objective cure rates were 55% and 45%, respectively. The urodynamic changes were not related to success even when adjusted for age, hormonal status, or anterior pelvic organ prolapse. The mean maximum flow decreased to 4.9\u200amL\/s (95% CI: 0.62\u201310.8; <jats:italic toggle=\"yes\">p<\/jats:italic>\u200a=\u200a0.035), and the mean detrusor pressure at maximum flow increased to 11.4\u200acmH<jats:sub>2<\/jats:sub>O (95% CI: 4\u201318; <jats:italic toggle=\"yes\">p<\/jats:italic>\u200a=\u200a0.0078).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Mini sling Ophira implantation decreased maximum urinary flow and increased the detrusor pressure at the maximum urinary flow and these urodynamic changes were not related to success.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/cu9.0000000000000026","type":"journal-article","created":{"date-parts":[[2021,5,24]],"date-time":"2021-05-24T10:00:14Z","timestamp":1621850414000},"page":"181-184","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Preliminary report of post-Ophira mini sling implantation voiding pattern: What to learn from pressure-flow studies?"],"prefix":"10.1097","volume":"15","author":[{"given":"Lucas Mira","family":"Gon","sequence":"first","affiliation":[{"name":"Division of Female Urology, University of Campinas (UNICAMP), Campinas, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danilo Leite","family":"Andrade","sequence":"additional","affiliation":[{"name":"Division of Female Urology, University of Campinas (UNICAMP), Campinas, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulo","family":"Palma","sequence":"additional","affiliation":[{"name":"Division of Female Urology, University of Campinas (UNICAMP), Campinas, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonardo O.","family":"Reis","sequence":"additional","affiliation":[{"name":"UroScience, University of Campinas (UNICAMP) and Pontifical Catholic University of Campinas (PUC-Campinas), Campinas, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e1ssio Luis Zanettini","family":"Riccetto","sequence":"additional","affiliation":[{"name":"Division of Female Urology, University of Campinas (UNICAMP), Campinas, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2021,5,20]]},"reference":[{"issue":"(6)","key":"R1-20250821","first-page":"CD008709","article-title":"Single-incision sling operations for urinary incontinence in women","author":"Nambiar","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"issue":"(9)","key":"R2-20250821","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1016\/j.acuro.2016.02.009","article-title":"Does the design of mini slings anchoring systems really matter? A biomechanical comparison between Mini Arc and Ophira","volume":"40","author":"Santos-Souza","year":"2016","journal-title":"Actas Urol Esp"},{"issue":"(5)","key":"R3-20250821","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1007\/s00192-012-1942-5","article-title":"A comparative study of a single-incision sling and a transobturator sling: Clinical efficacy and urodynamic changes","volume":"24","author":"Sun","year":"2013","journal-title":"Int Urogynecol J"},{"issue":"(2)","key":"R4-20250821","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1016\/j.eururo.2013.08.032","article-title":"Single-incision mini-slings versus standard midurethral slings in surgical management of female stress urinary incontinence: An updated systematic review and meta-analysis of effectiveness and complications","volume":"65","author":"Mostafa","year":"2014","journal-title":"Eur Urol"},{"issue":"(5)","key":"R5-20250821","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1007\/s00192-013-2242-4","article-title":"What is the best indication for single-incision Ophira mini sling? 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