Suburethral single incision slings in the treatment of female stress urinary incontinence: What is the evidence for using them in 2010?

• Type: Article in International Scientific Journal
• Date: 2011

Authors

Rui Oliveira (Author) Other; Carlos Silva (Author) FMUP; Paulo Oliveira (Author) FMUP; Francisco Cruz (Author) FMUP

Journal

Title: Archivos Espanoles de Urologia

Vol. 64 No. 4

Pages: 339-346

ISSN: 0004-0614

Publisher: Iniestares, S.A.

Indexing

Scopus - 12 Citations

Pubmed / Medline

Scientific classification

FOS: Medical and Health sciences > Clinical medicine

CORDIS: Health sciences > Medical sciences > Medicine > Urology

Other information

Authenticus ID: P-007-YBG

Abstract (EN): OBJECTIVES: To review the present evidence supporting the use of single-incision slings for treatment of female stress urinary incontinence. METHODS: A Pubmed search was performed using words as stress urinary incontinence, slings, single-incision slings, mini-sling, TVT-Secur ¿, MiniArc¿, TFS, Arcusto-Arcus ¿ and Ajust¿. This search was complemented by a review of the references from the papers found in the initial search. Only papers written in English, with a minimum of 30 cases and 6 months follow up were analyzed. RESULTS: Sixteen papers were found with the defined characteristics, 4 of them being comparative studies. Most studies include a low number of patients with follow-up not exceeding 12 months. Techniques are easy and seem to require a short learning curve, exception being TVT-Secur ¿. Operating time is short and complications are few and mild. Generally, results at 12 months are close to those reported after conventional slings. In two comparative studies Mini-Arc¿ was as effective as a transobturator comparator. However in two additional comparisons, single incision slings had worse outcomes than the conventional comparator. CONCLUSION: Some single-incision slings look promising in most series and even as effective as conventional sub-urethral slings at short term evaluation. However, no experience reported by independent authors can be found. Therefore, at this moment a clear statement in favor of the widespread use of single-incision slings cannot be made. More studies must define the efficacy of these techniques against conventional sub-urethral slings. In addition, comparisons among available single-incision slings should define one ideal model.

Language: English

Type (Professor's evaluation): Scientific