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Single-incision slings for the treatment of stress urinary incontinence: efficacy and adverse effects at 10-year follow-up

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Abstract

Introduction and hypothesis

Single-incision slings are not considered a first-choice surgical treatment owing to a lack of data about long-term outcomes. We aimed to assess the long-term results of urinary incontinence treatment after single-incision sling implantation at 10 years’ follow-up and to investigate possible deterioration over time.

Methods

This retrospective study analyzed women with subjective and urodynamically proven stress urinary incontinence who underwent single-incision sling procedure. The objective cure rate was assessed with a 300-ml stress test. The subjective cure rate was determined by the Patient Global Impression of Improvement (PGI-I) questionnaire. International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) questionnaire scores and self-answered patient-satisfaction scales were collected to assess symptom severity. Findings were compared with short-term outcomes in the same patients, available through our previous database, in order to detect possible outcome deterioration over time.

Results

The records of 60 patients were analyzed. Nine patients (15%) were lost to follow-up. A total of 51 patients completed the evaluation, with a mean follow-up of 10.3 ± 0.7 years. Objective and subjective cure resulted 86.3% and 88.2% respectively. Mean PGI-I scores and ICIQ-SF were 1.5 ± 1.0 and 3.2 ± 4.8 respectively. Patients’ satisfaction scored 8.6 ± 2.6 out of 10. No long-term complications occurred. Comparison of short-term (2.6 ± 1.4 years after surgery) and long-term follow-up did not show a significant deterioration of outcome over time.

Conclusions

Single-incision slings were shown to be a procedure with a great efficacy and safety profile at very long-term follow-up. Cure rates and functional outcomes did not show any deterioration over time compared with short-term results.

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Author information

Authors and Affiliations

  1. ASST Monza, San Gerardo Hospital, Monza, Italy

    Matteo Frigerio & Rodolfo Milani

  2. University of Milano-Bicocca, Monza, Italy

    Marta Barba, Luca Locatelli, Giuseppe Marino & Gianluca Donatiello

  3. AUSL Romagna, Infermi Hospital, Rimini, Italy

    Federico Spelzini

  4. ASST Santi Paolo e Carlo, Ospedale San Paolo, via Antonio di Rudini, Milan, Italy

    Stefano Manodoro

Authors
  1. Matteo Frigerio
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  2. Rodolfo Milani
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  3. Marta Barba
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  4. Luca Locatelli
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  5. Giuseppe Marino
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  6. Gianluca Donatiello
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  7. Federico Spelzini
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  8. Stefano Manodoro
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Contributions

M. Frigerio: project development, data collection, data analysis, manuscript writing; R. Milani: project development, data collection, data analysis, manuscript writing; M. Barba: project development, data collection, data analysis, manuscript writing; L. Locatelli: project development, data collection, data analysis, manuscript writing; G. Marino: project development, data collection, data analysis, manuscript writing; F. Spelzini: project development, data collection, data analysis, manuscript writing; G. Donatiello: project development, data collection, data analysis, manuscript writing; S. Manodoro: project development, data collection, data analysis, manuscript writing.

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Correspondence to Stefano Manodoro.

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Frigerio, M., Milani, R., Barba, M. et al. Single-incision slings for the treatment of stress urinary incontinence: efficacy and adverse effects at 10-year follow-up. Int Urogynecol J 32, 187–191 (2021). https://doi.org/10.1007/s00192-020-04499-8

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