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Single Incision Slings: Is There a Role?

  • Female Stress Incontinence and Prolapse (R Dmochowski, Section Editor)
  • Published:
Current Bladder Dysfunction Reports Aims and scope Submit manuscript

Abstract

To review the most recent studies comparing single incision slings (SISs) with conventional mid-urethral slings (CMUSs) for treatment of female stress urinary incontinence (SUI). A search in Pubmed and ISI Web of Knowledge was made using words referred to SUI and SISs. Only randomized clinical trials (RCTs) described in full-length papers published after the meta-analysis by Abdel-Fattah and co-workers (Eur Urol 2011;60(3):468-480) were considered. Six studies were identified, including a quasi-RCT. TVT-Secur was compared against CMUSs in three papers. Contasure-Needleless and Tissue Fixation System (TFS) were compared with a CMUS in one study each. Miniarc and TVT-Secur were compared against a CMUS in one trial. One additional study compared three SISs (Miniarc, TVT-Secur, Ajust). RCTs with Miniarc, TVT-Secur placed in the vertical position, Contasure-Needleless and TFS, show success rates similar to CMUSs. Consistently, complications favour SISs. These studies support the use of some SISs to treat female SUI.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Disclosure

V.M. Azevedo: none; C. Silva: none; and F. Cruz: has been a paid lecturer for AMS.

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Authors and Affiliations

  1. Department of Urology, Hospital de São João and Faculty of Medicine of University of Porto, Alameda Professor Hernâni Monteiro, 4200-319, Porto, Portugal

    Viviana Magno-Azevedo, Carlos Silva & Francisco Cruz

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  1. Viviana Magno-Azevedo
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  2. Carlos Silva
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  3. Francisco Cruz
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Correspondence to Francisco Cruz.

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Magno-Azevedo, V., Silva, C. & Cruz, F. Single Incision Slings: Is There a Role?. Curr Bladder Dysfunct Rep 8, 19–24 (2013). https://doi.org/10.1007/s11884-012-0165-4

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  • DOI: https://doi.org/10.1007/s11884-012-0165-4

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