Single-incision sling system as primary treatment of female stress urinary incontinence: prospective 12 months data from a single institution

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

Authors

Rui Oliveira (Author) Other; Francisco Botelho (Author) FMUP; Pedro Silva (Author) Other; Alexandre Resende (Author) Other; Carlos Silva (Author) FMUP; Paulo Oliveira (Author) FMUP; Francisco Cruz (Author) FMUP

Journal

Title: BJU International

Vol. 108 No. 10

Pages: 1616-1621

ISSN: 1464-4096

Publisher: Wiley-Blackwell

Indexing

ISI Web of Knowledge - 19 Citations

Scopus - 24 Citations

Pubmed / Medline

Scientific classification

FOS: Medical and Health sciences > Clinical medicine

CORDIS: Health sciences > Medical sciences > Medicine > Urology

Other information

Authenticus ID: P-002-K4H

DOI: 10.1111/j.1464-410x.2011.10158.x

Abstract (EN): OBJECTIVE To investigate the success and complication rates for Mini-Arc (TM) single incision sling in the treatment of female stress urinary incontinence (SUI). MATERIALS AND METHODS A total of 119 female patients with pure SUI were enrolled in a prospective study. From these, 105 were available with a minimum follow-up of 6 months and a mean follow-up of 12 months. Success, as determined by patient reported outcomes, and complication rates, as well as impact of learning curve, body mass index (BMI), intrinsic sphincter deficiency (ISD), incontinence severity and age were investigated. RESULTS Cure rate was 80% and improvement rate was 11%. Pain intensity was minimal on a visual analogue scale and transient urinary retention occurred in three patients, one requiring sling section. De novo urgency was reported by 6% of women. Severe incontinence was less likely to be cured: 70% if >5 pads per day (ppd); 94% if <2ppd; 94% if 2-4ppd, P < 0.05). There was no difference in success rates between the first 50 and the last 50 patients. BMI, ISD and age also did not influence success rate. CONCLUSION Mini-Arc (TM) attained high success rates at 1 year follow-up. The procedure was easy to learn and was associated with very low and mild morbidity. Severe incontinence was identified as a risk factor for failure.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 6