Current Bladder Dysfunction Reports

, Volume 8, Issue 1, pp 19–24

Single Incision Slings: Is There a Role?

  • Viviana Magno-Azevedo
  • Carlos Silva
  • Francisco Cruz
Female Stress Incontinence and Prolapse (R Dmochowski, Section Editor)

DOI: 10.1007/s11884-012-0165-4

Cite this article as:
Magno-Azevedo, V., Silva, C. & Cruz, F. Curr Bladder Dysfunct Rep (2013) 8: 19. doi:10.1007/s11884-012-0165-4

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.

Keywords

Mini-slingSingle incision slingStress urinary incontinenceTVT-SecurMiniarcTissue fixation systemContasure-needlelessAjustOphiraTransobturator slingRetropubic sling

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Viviana Magno-Azevedo
    • 1
  • Carlos Silva
    • 1
  • Francisco Cruz
    • 1
  1. 1.Department of UrologyHospital de São João and Faculty of Medicine of University of PortoPortoPortugal