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Comparison between three mini-sling surgical procedures and the traditional transobturator vaginal tape technique for female stress urinary incontinence.
| Content Provider | Europe PMC |
|---|---|
| Author | LEANZA, V. INTAGLIATA, E. LEANZA, A. FERLA, F. LEANZA, G. VECCHIO, R. |
| Copyright Year | 2014 |
| Abstract | Objectives To compare mini-sling and traditional tension-free operations for female stress urinary incontinence. Study design A systematic review of articles in the Literature published between 2002 and 2012, was conducted. A Pubmed search was performed. Primary outcomes were subjective and objective cure rates at 12 months comparing the three single-incision mini-slings techniques (TVT-Secur, MiniArc and Monarc systems) with the standard mid-urethral sling procedure TOT (Transobturator Vaginal Tape). Secondary outcomes included peri-operative (vaginal and/or bladder perforation, urine retention, urinary tract infection, bleeding, pain) and post-operative (mesh exposure, de novo urgency, and dyspareunia) complications. Results In term of objective cure rate at 12 month after surgery, it is evident that TOT at first, and MiniArc are the most effective procedures. The incidence of post-operative urgency and UTI was lower in TOT technique, while vaginal perforation was described in equal frequency both in TOT and in MiniArc procedures. The advantages of the three above described mini-invasive techniques seem to consist into lower cases of urinary retention, pain and bleeding. Furthermore, bladder perforation and bleeding are not described in the Literature for TVT-Secur and Monarc systems. Conclusions Some single-incision slings look promising and as effective as conventional sub-urethral slings at short term evaluation. However, at this moment a clear statement in favor of the widespread use of single-incision slings cannot be made. More studies must define the efficacy of these techniques. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC4321593&blobtype=pdf |
| ISSN | 03919005 |
| Volume Number | 35 |
| PubMed Central reference number | PMC4321593 |
| Issue Number | 3-4 |
| PubMed reference number | 24841685 |
| Journal | Il Giornale di Chirurgia [G Chir] |
| e-ISSN | 1971145X |
| Language | English |
| Publisher | CIC Edizioni Internationali |
| Publisher Date | 2014-03-01 |
| Access Restriction | Open |
| Rights License | © Copyright 2014, CIC Edizioni Internazionali, Roma |
| Subject Keyword | Stress urinary incontinence Mid-urethral sling Single-incision mini-sling |
| Content Type | Text |
| Resource Type | Article |
| Subject | Surgery |
