https://doi.org/10.4081/uij.2021.249
A retrospective evaluation after insertion of the MicroGYNious single incision sling in cases of stress urinary incontinence
Submitted: 6 May 2020
Accepted: 16 March 2021
Published: 22 March 2021
Accepted: 16 March 2021
Abstract Views: 3339
PDF: 256
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
In the literature the rate of stress incontinence is reported between 29-75%. Compared to the established tension free vaginal tapes, the question arises, whether stabilization of the urethra can also be achieved by minimally invasive single incision slings. The aim of this retrospective analysis is to evaluate the cure rate after insertion of MicroGYNious sling. The study was carried out on 115 patients, who received a MicroGYNious sling. It was used both as a single operation for stress urinary incontinence and as a combined procedure. The degree of incontinence preoperatively and continence rate postoperatively with follow-ups (6 weeks, 6 months, one year, two years and three years) were recorded. Due to a high number of lost to follow-up after one year, only the data up to one year postoperative were included in the analysis. Preoperatively, grade I incontinence was found in 6.1%, grade II 35.7%, grade III 58.3% of the operated women. The continence rate was 96.7% postoperatively, 90 % after 6 weeks, 87.2 % after 6 months, 86.7% after one year. In terms of continence rates, the MicroGYNious sling shows similar results compared to the established procedures. Therefore, this sling provides a good treatment option for the stress urinary incontinence. These good results must be confirmed in prospective randomized trials.
Luber KM. The definition, prevalence, and risk factors for stress urinary incontinence. Rev Urol 2004;6:S3–9.
Thüroff JW, Abrams P, Andersson K-E, Artibani W, Chapple CR, Drake MJ, et al. EAU Guidelines on Urinary Incontinence. Eur Urol 2011;59:387–400.
DOI: https://doi.org/10.1016/j.eururo.2010.11.021
Nambiar A, Cody JD, Jeffery ST. Single-incision sling operations for urinary incontinence in women. Cochrane Database Syst Rev 2014;CD008709.
DOI: https://doi.org/10.1002/14651858.CD008709.pub2
Kennelly MJ, Moore R, Nguyen JN, et al. Prospective Evaluation of a Single Incision Sling for Stress Urinary Incontinence. J Urol 2010;184:604–9.
DOI: https://doi.org/10.1016/j.juro.2010.04.003
Dannecker C, Friese K, Stief C, Bauer R. Urinary incontinence in women: part 1 of a series of articles on incontinence. Dtsch Arztebl Int 2010;107:420-6.
Naumann G, Albrich S, Skala C, et al. Single-Incision Slings (SIS) - a New Option for the Surgical Treatment of Female Stress Urinary Incontinence. Geburtsh Frauenheilk 2012;72:125–31.
DOI: https://doi.org/10.1055/s-0031-1298275
Enzelsberger H, Cemer I, Enzelsberger S, Schalupny J. MiniArc® versus Monarc® – Eine prospektiv randomisierte Vergleichsstudie zur operativen Therapie der weiblichen Stressharninkontinenz. Geburtsh Frauenheilk 2010;70:499–502.
DOI: https://doi.org/10.1055/s-0030-1249952
Kennelly MJ, Moore R, Nguyen JN, et al. Miniarc® single-incision sling for treatment of stress urinary incontinence: 2-year clinical outcomes. Int Urogynecol J 2012;23:1285–91.
DOI: https://doi.org/10.1007/s00192-012-1734-y
Ward KL, Hilton P, UK and Ireland TVT Trial Group. Tension-free vaginal tape versus colposuspension for primary urodynamic stress incontinence: 5-year follow up. BJOG: Int J Obstet Gynaecol 2007;115:226–33.
DOI: https://doi.org/10.1111/j.1471-0528.2007.01548.x
Nilsson CG, Palva K, Rezapour M, Falconer C. Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence. Int Urogynecol J 2008;19:1043–7.
DOI: https://doi.org/10.1007/s00192-008-0666-z
Ford AA, Rogerson L, Cody JD, et al. Mid-urethral sling operations for stress urinary incontinence in women. Cochrane Incontinence Group, editor. Cochrane Database Syst Rev 2017;7:CD006375.
DOI: https://doi.org/10.1002/14651858.CD006375.pub4
Basu M, Duckett J. Three-year results from a randomised trial of a retropubic mid-urethral sling versus the Miniarc single incision sling for stress urinary incontinence. Int Urogynecol J 2013;24:2059–64.
DOI: https://doi.org/10.1007/s00192-013-2125-8
Oliveira R, Botelho F, Silva P, Resende A, Silva C, Dinis P, et al. Exploratory Study Assessing Efficacy and Complications of TVT-O, TVT-Secur, and Mini-Arc: Results at 12-Month Follow-Up. Eur Urol 2011;59:940–4.
DOI: https://doi.org/10.1016/j.eururo.2011.01.018
Abdel-Fattah M, Ford JA, Lim CP, Madhuvrata P. Single-Incision Mini-Slings Versus Standard Midurethral Slings in Surgical Management of Female Stress Urinary Incontinence: A Meta-Analysis of Effectiveness and Complications. Eur Urol 2011;60:468–80.
DOI: https://doi.org/10.1016/j.eururo.2011.05.003
Gaber ME, Borg T, Samour H, et al. Two new mini-slings compared with transobturator tension-free vaginal tape for treatment of stress urinary incontinence: A 1-year follow-up randomized controlled trial. J Obstet Gynaecol Res 2016;42:1773–81.
DOI: https://doi.org/10.1111/jog.13143
Song PH, Kwon DH, Ko YH, Jung HC. The Long-Term Outcomes of the Tension-free Vaginal Tape Procedure for Treatment of Female Stress Urinary Incontinence: Data from Minimum 13 Years of Follow-Up. Low Urin Tract Symptoms 2017;9:10–4.
DOI: https://doi.org/10.1111/luts.12099
Segal JL, Vassallo B, Kleeman S, et al. Prevalence of Persistent and De Novo Overactive Bladder Symptoms After the Tension-Free Vaginal Tape. Obstet Gynecol 2004;104:1263–9.
DOI: https://doi.org/10.1097/01.AOG.0000147596.44421.72
Lleberia-Juanós J, Bataller-Sánchez E, Pubill-Soler J, et al. De novo urgency after tension-free vaginal tape versus transobturator tape procedure for stress urinary incontinence. Eur J Obstet Gynecol Reprod Biol 2011;155:229–32.
DOI: https://doi.org/10.1016/j.ejogrb.2010.12.026
How to Cite
Schütze, S., Göretzlehner, U., Mian, E., Schochter, F., Janni, W., & Deniz, M. (2021). A retrospective evaluation after insertion of the MicroGYNious single incision sling in cases of stress urinary incontinence. Urogynaecologia, 33(1). https://doi.org/10.4081/uij.2021.249
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
An Open Access Publication is one that meets the following two conditions:
- the author(s) and copyright holder(s) grant(s) to all users a free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, transmit and display the work publicly and to make and distribute derivative works, in any digital medium for any responsible purpose, subject to proper attribution of authorship, as well as the right to make small numbers of printed copies for their personal use.
- a complete version of the work and all supplemental materials, including a copy of the permission as stated above, in a suitable standard electronic format is deposited immediately upon initial publication in at least one online repository that is supported by an academic institution, scholarly society, government agency, or other well-established organization that seeks to enable open access, unrestricted distribution, interoperability, and long-term archiving.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
Similar Articles
- Dorota Borawski, Martin H. Bluth, Wellman W. Cheung, Prevalence of urinary incontinence and other lower tract urinary symptoms in patients with uterine myomas , Urogynaecologia: Vol. 25 No. 1 (2011)
- N. SEBASTIO, M. SIMONAZZI, E. FERRI, S. MELI, P. SALSI, P. CORTELLINI, Profile of the urethral transmission pressure in patients undergoing tension-free vaginal tape (T.V.T.) , Urogynaecologia: Vol. 14 No. 1 (2000)
- Nisarath Soontrapa, Sukree Soontrapa, Srinaree Kaewrudee, Woraluk Somboonporn, Chuanchom Sakondhavat, Urogenital symptoms in postmenopausal women: a hospital-based prevalence study , Urogynaecologia: Vol. 25 No. 1 (2011)
- Chendrimada Madhu, Penelope Harber, David Holmes, Unexpected benefits and potential therapeutic opportunities of tension free vaginal tape for stress urinary incontinence , Urogynaecologia: Vol. 27 No. 1 (2013)
- F. Bernasconi, V. Napolitano, M. Primicerio, D. Lijoi, E. Leone, F. Armitano, M. Luerti, G.C. Sugliano, D. Vitobello, D. Riva, D. Gregori, SUI AND TVT IUS ND TVT SECURE SYSTEM: A PROSPECTIVE OBSERVATIONAL MULTICENTRIC STUDY. MORBIDITY AND SHORT-TERM PERCENTAGES OF SUCCESS , Urogynaecologia: Vol. 23 No. 3 (2009)
- A. BERNABEI, Va. TROTTA, Vi. TROTTA, Epidemiological study of female urinary incontinence in the province of Siena, Italy , Urogynaecologia: Vol. 14 No. 2 (2000)
- Giorgio Gugliotta, Gloria Calagna, Roberta Granese, Giorgio Adile, Antonio Martorana, Biagio Adile, Trans-obturator tape technique and bladder injury. Cysto-urethroscopic management of intravesically-exposed sling , Urogynaecologia: Vol. 28 No. 1 (2014)
- G. DE MATTEIS, S. COLAGRANDE, Q. MAGLIONI, P. PAESANO, E. CIRESE, TVT (Tension-Free Vaginal Tape): a new procedure for the treatment of SUI. Our experience , Urogynaecologia: Vol. 14 No. 2 (2000)
- Colin Walsh, Wendy Allen, Katrina Parkin, Chinmoy Mukerjee, Kate Moore, Low-count bacteriuria in refractory idiopathic detrusor overactivity versus controls , Urogynaecologia: Vol. 25 No. 1 (2011)
- G. QUADRI, N. NATALE, C. SPREAFICO, C. BELLONI, D. BARISANI, J. LAHODNY, Intravesical prostaglandin e2 effectiveness in the prevention of urinary retention after transvaginal reconstruction of the pubo-cervical fascia and short arm sling according to Lahodny: a prospective randomized clinical trial , Urogynaecologia: Vol. 14 No. 1 (2000)
You may also start an advanced similarity search for this article.