Single-incision slings for the treatment of stress urinary incontinence: efficacy and adverse effects at 10-year follow-up

Frigerio, Matteo; Milani, Rodolfo; Barba, Marta; Locatelli, Luca; Marino, Giuseppe; Donatiello, Gianluca; Spelzini, Federico; Manodoro, Stefano

doi:10.1007/s00192-020-04499-8

Cited by 17 publications

(13 citation statements)

References 27 publications

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“…Furthermore, there were no significant differences in patient-reported and objective cure rates between the currently used SIMS during midterm follow-up [ 35 ]. However, there are limited studies available on the long-term outcomes of SIS.…”

Section: Reviewmentioning

confidence: 99%

Single Incision Mini-Sling Versus Mid-Urethral Sling (Transobturator/Retropubic) in Females With Stress Urinary Incontinence: A Systematic Review and Meta-Analysis

Patel¹,

Sugandh²,

Bai³

et al. 2023

Cureus

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Stress urine incontinence (SUI) is most common in middle-aged women and the second most common in those over 75. SUI causes significant discomfort and suffering for patients and has a considerable financial impact on the healthcare system. Conservative approaches are recommended as the first step in treatment. However, surgery is often necessary to improve a patient's quality of life due to the high failure rate of conservative treatments. A thorough literature review of studies published before March 2023 was conducted on the safety and effectiveness of single-incision mini slings (SIMS) and standard mid-urethral slings (MUS). PubMed, Embase, Cochrane Library, and Elsevier's ScienceDirect were used to retrieve the studies. Two reviewers independently searched and evaluated the data based on inclusion and exclusion criteria. Review Manager 5.4 software was used for meta-analysis. Included were seventeen studies involving 3,503 female SUI patients without intrinsic sphincter deficiency (ISD) or mixed urinary incontinence. According to the results of our meta-analysis, the clinical efficacy of SIMS is comparable to that of MUS in terms of objective cure rate (RR: 0.99; 95% CI: 0.95 to 1.03, p: 0.66, I2: 29%). In contrast, it increases the post-procedure International Consultation on Incontinence Questionnaire (ICIQ) score (WMD: 0.08; 95%

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Section: Reviewmentioning

confidence: 99%

Single Incision Mini-Sling Versus Mid-Urethral Sling (Transobturator/Retropubic) in Females With Stress Urinary Incontinence: A Systematic Review and Meta-Analysis

Patel¹,

Sugandh²,

Bai³

et al. 2023

Cureus

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“…We read with interest the recent article entitled "Singleincision slings for the treatment of stress urinary incontinence: efficacy and adverse effects at 10-year follow-up" by Frigerio et al [1]. In their study, de novo overactive bladder symptoms were assessed using clinical interviews and the answer ("leak before you can get to the toilet") to question 6 of the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) [2].…”

Section: To the Editormentioning

confidence: 99%

Letter to the editor: Single-incision slings for the treatment of stress urinary incontinence: efficacy and adverse effects at 10-year follow-up

Lin

Long

2021

Int Urogynecol J

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“…Surgical treatment is indicated when conservative management fails. Many types of surgery have been proposed over the years, including bladder neck suspension, anterior vaginal wall repair, autologous sling, stem cell injection, urethral bulking agents, and suburethral tapes [ 19 , 20 , 21 , 22 , 23 ]. However, each surgical approach has its own drawbacks, including visceral injuries (such as bladder perforation) and chronic neurological pain [ 24 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

Flat Magnetic Stimulation for Stress Urinary Incontinence: A Prospective Comparison Study

et al. 2023

Self Cite

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Background: Flat Magnetic Stimulation (FMS) is characterized by a stimulation generated by electromagnetic fields with a homogenous profile. One possible application is the treatment of stress urinary incontinence (SUI). We aimed to compare the objective, subjective, quality of life, and instrumental outcomes in women with SUI not eligible for surgery undergoing either FMS or pelvic floor muscle training (PFMT). Methods: This was a prospective interventional study. After proper counseling, patients with isolated SUI were divided according to their treatment of choice into FMS and PFMT groups. At baseline and after treatment, patients completed the International Consultation on Incontinence Questionnaire-Short Form, the Female Sexual Function Index, and the Incontinence Impact Questionnaire, and volumetric measurement of the urethral rhabdosphincter (RS) was performed. The Patient Global Impression of Improvement questionnaire and stress test defined subjective and objective cure rates, respectively. Results: We observed improvements in urinary-related quality of life scores and an increase in RS volume after FMS compared to baseline. All these outcomes were significantly better compared to women who underwent PFMT. Conclusion: Our study demonstrated that FMS is a safe and effective conservative option for SUI management in terms of objective and subjective cure rates.

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Single-incision slings for the treatment of stress urinary incontinence: efficacy and adverse effects at 10-year follow-up

Cited by 17 publications

References 27 publications

Single Incision Mini-Sling Versus Mid-Urethral Sling (Transobturator/Retropubic) in Females With Stress Urinary Incontinence: A Systematic Review and Meta-Analysis

Single Incision Mini-Sling Versus Mid-Urethral Sling (Transobturator/Retropubic) in Females With Stress Urinary Incontinence: A Systematic Review and Meta-Analysis

Letter to the editor: Single-incision slings for the treatment of stress urinary incontinence: efficacy and adverse effects at 10-year follow-up

Flat Magnetic Stimulation for Stress Urinary Incontinence: A Prospective Comparison Study

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