Abstract (EN):
To review the most recent studies comparing single incision slings (SISs) with conventional mid-urethral slings (CMUSs) for treatment of female stress urinary incontinence (SUI). A search in Pubmed and ISI Web of Knowledge was made using words referred to SUI and SISs. Only randomized clinical trials (RCTs) described in full-length papers published after the meta-analysis by Abdel-Fattah and co-workers (Eur Urol 2011;60(3):468-480) were considered. Six studies were identified, including a quasi-RCT. TVT-Secur was compared against CMUSs in three papers. Contasure-Needleless and Tissue Fixation System (TFS) were compared with a CMUS in one study each. Miniarc and TVT-Secur were compared against a CMUS in one trial. One additional study compared three SISs (Miniarc, TVT-Secur, Ajust). RCTs with Miniarc, TVT-Secur placed in the vertical position, Contasure-Needleless and TFS, show success rates similar to CMUSs. Consistently, complications favour SISs. These studies support the use of some SISs to treat female SUI. © 2012 Springer Science+Business Media New York.
Language:
English
Type (Professor's evaluation):
Scientific