AIM: To conduct a review about the use of single incision mini-slings (SIMS) to manage non-neurogenic stress urinary incontinence in women.
METHODS: Literature search in Pubmed/MEdline database until june 2013. TVT-Secur™ was excluded because this device is not anymore marketed.
RESULTS: Ajust™ and Mini-Arc™ were the two main SIMS evaluated in the literature. Studies about Mini-Arc™ generated heterogeneous results, with a success rate between 44% and 91% after 1 year. Ajust™ was the most promising device with 80% efficacy after mid-term follow-up. All evaluated SIMS had a low rate of immediate complications. Two randomized controlled trials comparing SIMS and traditional mid-urethral slings were identified, as well as one meta-analysis; they all concluded to non-superiority or inferiority for the mini-sling versus traditional slings.
CONCLUSION: Due to short follow-up, limited evidence and heterogeneous data, SIMS are not yet standard of care and further research is warranted.
Written by:
Lizée D, Cornu JN, Peyrat L, Ciofu C, Beley S, Haab F. Are you the author?
Service d'urologie, université Paris VI, hôpital Tenon, groupe hospitalo-universitaire Paris-Est, Assistance publique-Hôpitaux de Paris (AP-HP), 4, rue de la Chine, 75970 Paris cedex 20, France.
Reference: Prog Urol. 2013 Sep;23(11):917-25.
doi: 10.1016/j.purol.2013.07.008
PubMed Abstract
PMID: 24010922
Article in French.
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