Long-term efficacy of the single-incision mini-sling procedure using surgeon-tailored mesh

• Published in: European journal of obstetrics & gynecology and reproductive biology 2023-08, Vol.287, p.59-62
• Main Authors: Uysal, Dilek, Güven, Cenk Mustafa, Akgün Kavurmaci, Seda, Sivaslioğlu, Ahmet Akın
• Format: Article
• Language: English
• Subjects: Cough; Female; Gynecology; Humans; Quality of Life; Retrospective Studies; Single-incision mini-sling; Stress urinary incontinence; Suburethral Slings - adverse effects; Surgeon-tailored mesh; Surgeons; Surgical Mesh; Surgical Wound; Treatment Outcome; Urinary Incontinence - surgery; Urinary Incontinence, Stress - surgery
• ISSN: 0301-2115; 1872-7654
• DOI: 10.1016/j.ejogrb.2023.06.002

To evaluate the long-term efficacy of a surgeon-tailored single-incision mini-sling procedure (SIMS) for the surgical treatment of stress urinary incontinence (SUI) in terms of objective cure rates, quality of life, and cost-effectiveness. This retrospective study included 93 women with pure SUI who underwent surgeon-tailored SIMS. All patients were evaluated with a stress cough test and quality of life questionnaire (Incontinence Impact Questionnaire [IIQ-7]) at 1 month, 6 months, 1 year, and last follow-up visit (4–7 years). Early and late (after 1 month) complication rates and the reoperation rate were also evaluated. Mean operative time and follow-up duration were 12 ± 2.5 min and 5.7 years (4–7 years), respectively. Objective cure rates determined by the stress cough test were 83.8%, 94.6%, 93.5%, and 91.3% at 1 month, 6 months, 1 year, and last follow-up, respectively. IIQ-7 scores improved at every visit compared to the preoperative value. There were no cases of hematuria, bladder perforation, or major bleeding requires a blood transfusion. Our results suggest that the surgeon-tailored SIMS procedure has high efficacy and low complication rates and offers a practical and inexpensive alternative to commercial high-cost SIMS systems.