Single-incision sling operations for urinary incontinence in women

Nambiar, Arjun; Cody, June D; Jeffery, Stephen; Aluko, Patricia

doi:10.1002/14651858.cd008709.pub3

Cited by 86 publications

(38 citation statements)

References 53 publications

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“…As with MUSs, SISs have also been associated with complications, including vaginal mesh exposure, groin pain, persistent urinary incontinence, bladder perforation, urethral obstruction, and signifi cant bleeding complications (7,(15)(16)(17). Th e vessel known as the corona mortis, or "crown of death," has been reported as a source of signifi cant hemorrhage following the placement of the TVT Secur (10,11).…”

Section: Methodsmentioning

confidence: 99%

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Anatomic Relation Between Single-Incision Slings and the Obturator Vessels

O’Boyle

Chung

Larsen

2017

Baylor University Medical Center Proceedings

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Section: Methodsmentioning

confidence: 99%

“…Previous reports have described the vascular anatomy of the retropubic space relative to both retropubic and transobturator approaches of the MUS (7,8). Th is article describes observations during cadaveric dissections following the insertion of SISs and reviews the relevant vasculature in proximity of MUS approaches used to treat female SUI.…”

mentioning

confidence: 99%

Anatomic Relation Between Single-Incision Slings and the Obturator Vessels

O’Boyle

Chung

Larsen

2017

Baylor University Medical Center Proceedings

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“…[ 5 ] The single-incision mini-sling (SIMS) was introduced in 2008 with the aim to further decrease potential complications from retropubic and transobturator approaches (such as bladder or bowel perforation and vessel injury). [ 9 ] There is no blind passage of the needle introducer through the retropubic space when inserting the tension-free vaginal tape (TVT) nor the passage of trocars through the obturator or adductor muscles when inserting the transobturator tape (TOT). Instead, the SIMS requires only a single suburethral incision and the adjacent creation of a tunnel in either a “U-type” or “H-type” where the sling would lie.…”

Section: Introductionmentioning

confidence: 99%

Single-incision mini-sling for the treatment of female stress urinary incontinence: Is it actually inferior to transobturator vaginal tape and tension-free vaginal tape?

Kersic

Keršič

Kunič

et al. 2020

Gynecol Minim Invasive Ther

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Objectives: The aim of the study was to report the extended long-term results of the use of single-incision mini-sling (SIMS), tension-free vaginal tape (TVT), and transobturator tape (TOT) for the treatment of female stress urinary incontinence (SUI) at the Department of Gynecology and Obstetrics of the University Medical Center Ljubljana. Materials and Methods: Enrolled women were evaluated by Patient Global Impression of Severity (PGI-S), Patient Global Impression of Improvement (PGI-I), Sandvik severity scale, Urogenital Distress Inventory (UDI-6), Incontinence Impact Questionnaire (IIQ-7), and Incontinence Questionnaire-Urinary Incontinence (ICIQ-UI) Short Form and data about diagnosis, procedures, complications, reoperations, postoperative results, and satisfaction with procedure were recorded. Results: In analyzed group of patients ( n = 357), 116 (32%) underwent SIMS procedure, 189 (53%) TOT, and 52 (15%) TVT. The SIMS, TOT, and TVT groups did not differ significantly from each other in PGI-S, PGI-I, Sandvik severity scale, UDI-6, IIQ-7, and ICIQ-UI Short Form or in postoperative complication rate. Repeat surgery was needed in 9.5% after SIMS, in 13.2% of TOT patients and in 23.1% of TVT patients ( P = 0.194). Urinary retention occurred in 9.5% of the SIMS patients, in 9.5% of the TOT patients, and in 13.5% of the TVT patients ( P = 0.682). Mesh erosion/inflammation occurred in 3.4% of the SIMS patients, in 6.3% of the TOT patients, and in 3.8% of the TVT patients ( P = 0.485). Conclusion: The efficacy and safety of SIMS, TOT, and TVT in the surgical treatment of SUI are comparable. The choice of the technique should be based on the relative pros and cons of techniques and the surgeon's experience.

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“…Single-incision mid-urethral slings (SIMS), or mini-slings, have been introduced over the past few years to minimize the surgical procedure and operation time and decrease the number of complications associated with surgery for the treatment of stress urinary incontinence (SUI). A recent meta-analysis reported insufficient results for the extraction of safe conclusions, but there is some evidence indicating better performance of the SIMS in terms of post-operative pain and duration of the operation [1]. On the other hand, the TVT-Secur has consistently demonstrated inferior results compared with standard mid-urethral slings (SMUS) and has been withdrawn from the market [2, 3].…”

Section: Introductionmentioning

confidence: 99%

Adjustable mini-sling compared with conventional mid-urethral slings in women with urinary incontinence: a 3-year follow-up of a randomized controlled trial

et al. 2019

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Introduction and hypothesis The aim of this study was to compare the long-term subjective outcomes of an adjustable single-incision sling (Ajust®) vs standard mid-urethral slings (SMUS) for the treatment of women with stress urinary incontinence. Methods This study was designed as a multicenter prospective randomized trial. Women under 60 years old with objectively verified stress urinary incontinence were included from seven centers in three countries. Women with mixed urinary incontinence were also included. Randomization was held in blocks for operation with either Ajust® or SMUS. Women analyzed at 1-year follow-up received the International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form (ICIQ-UI-SF), International Consultation on Incontinence Questionnaire Overactive Bladder, Pelvic Organ Prolapse/Urinary Incontinence/Sexual Function Questionnaire-12, Patient Global Impression of Severity, and Patient Global Impression of Improvement questionnaires, together with a bladder diary to fill out at least 3 years after the procedure. The main outcome evaluated was the subjective cure rate as reported through the ICIQ-UI-SF questionnaire at 3 years. Results In total, 205 women participated in the 3-year follow-up: 107 in the Ajust® and 98 in the SMUS group. No significant difference was observed between the groups regarding subjective cure rate (50.9% vs 51.5%, p = 0.909) or dyspareunia. Both groups demonstrated similar postoperative perception of improvement in addition to reduced urgency and urge urinary incontinence. The postoperative improvement remained at the same level after 3 years as it was at 1-year follow-up for both Ajust® and SMUS. Conclusions Ajust® appears to be equally effective and safe as SMUS with regard to long-term follow-up of patient-reported outcomes.

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Single-incision sling operations for urinary incontinence in women

Abstract: Single-incision sling operations for urinary incontinence in women (Review)

Cited by 86 publications

References 53 publications

Anatomic Relation Between Single-Incision Slings and the Obturator Vessels

Anatomic Relation Between Single-Incision Slings and the Obturator Vessels

Single-incision mini-sling for the treatment of female stress urinary incontinence: Is it actually inferior to transobturator vaginal tape and tension-free vaginal tape?

Adjustable mini-sling compared with conventional mid-urethral slings in women with urinary incontinence: a 3-year follow-up of a randomized controlled trial

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