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

Vol. 33 No. 1 (2021)
Submitted: 6 May 2020
Accepted: 16 March 2021
Published: 22 March 2021
MicroGYNious, single incision sling, stress urinary incontinence, minimal invasive
Abstract Views: 3354
PDF: 258
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Authors

Sabine Schütze
schuetze.bine@gmail.com
https://orcid.org/0000-0001-7605-1486
Department of Gynaecology and Obstetrics University Ulm, Ulm, Germany.
Ulf Göretzlehner
Frauenklinik, Alb-Donau Klinikum, Ehingen, Germany.
Elisabeth Mian
https://orcid.org/0000-0001-9546-0007
Department of Gynaecology and Obstetrics University Ulm, Ulm, Germany.
Fabienne Schochter
https://orcid.org/0000-0003-3675-6494
Department of Gynaecology and Obstetrics University Ulm, Ulm, Germany.
Wolfgang Janni
Department of Gynaecology and Obstetrics University Ulm, Ulm, Germany.
Miriam Deniz
https://orcid.org/0000-0002-7327-7735
Department of Gynaecology and Obstetrics University Ulm, Ulm, Germany.

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.

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Crossref
Scopus
Google Scholar
Europe PMC
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

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