Urinary Incontinence: Outcomes & Complications
Moderated Poster Session
MP3-21 - A randomized prospective comparison of single incision mini-sling with transobrutator tape in women with stress urinary incontinence : 12 months follow-up results
Thursday, September 20
4:00 PM - 6:00 PM
Location: Room 243
Aksaray University School Of Medicine
Introduction & Objective :
Surgical treatment for urinary incontinence has changed considerably. Since the description of the standard mid-urethral retropubic sling this method has been modified by introduction of the transobturator approach due to high rate complications. A new technique - single incision mini-sling (SIMS)- has been introduced because of the several studies showed that the transobturator procedure is associated with postoperative pain. The objectives of the present study was to compare the objective (negative stress test) and subjective (no leakage at all) cure rates of the adjustable single SIMS vs. TOT and to record of pain perception and complications at the one-year follow up.
A total of 249 patients were randomized into 2 groups to receive either SIMS (Ophira ®) or TOT (Safyre ®) operation. All surgical procedures were performed by a experienced surgeon in anti-incontinence surgery between 2013-2017. Cough-stress test was considered for objective outcome while subjective outcomes consisted of International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF). Assessments were performed preoperatively and at postoperative 6th and 12th month. Pain levels were evaluated using a visual analog scale.
Baseline characteristics are given in Table 1. No difference was observed between the two groups. The objective and subjective cure rates at postoperative 6th and 12th month were similar between two groups. There was no significant complication seen in both groups. There was a difference in terms of mean hospital stay for SIMS and TOT but not significant (Table II). Operation time was significantly lower in SIMS group than TOT group. VAS score disclosed a lower postoperative pain perception in the SIMS group than in the TOT group.(Table II)
SIMS appears to be as efficient as TOT regarding objective and subjective outcomes and was associated with less operation time and less pain perception during the postoperative period.