A minimum of 1‐year follow‐up for MiniArc single incision slings compared to Monarc transobturator slings: An analysis to evaluate durability of continence and medium‐term outcomes

Abstract

We demonstrated that the short-term results of MiniArc™, are maintained over time, defining the comparability of the two slings at 5 years in terms of subjective and objective outcomes and complications. Neurourol. Urodynam. 36:803-807, 2017. © 2016 Wiley Periodicals, Inc.

Learning curve for the single‐incision suburethral sling procedure for female stress urinary incontinence

“…Additionally, the incidence of perioperative complications such as erosion was low (1.0%) in the present series. This finding is consistent with that of Tutolo et al., who also showed that low erosion was maintained over time (at 1‐, 3‐, 5‐year follow‐up endpoints) …”

“…did not report any intraoperative complications among 93 women who had sling implantation in outpatient setting. Similarly, Tutolo et al . did not find bladder perforation among 166 women undergoing the MiniArc procedure.…”

“…Similar to other types of SIS, the MiniArc sling (American Medical Systems, Minnetonka, MN, USA) provides midurethral tension‐free support via two integrated self‐fixing tips for bilateral anchorage on the obturator fascia. Its efficacy has been reported to be maintained at long‐term follow‐up similarly to SMUS . However, SIS efficacy rates vary widely and life‐threatening vascular complications have been described (e.g.…”

A systematic review and meta-analysis of single-incision mini-slings (MiniArc) versus transobturator mid-urethral slings in surgical management of female stress urinary incontinence

“…Twelve relevant studies [ 18 – 29 ] including 1794 patients were selected for analysis. No differences were found in terms of age and the basic physical conditions between the MiniArc group and transobturator MUS group.…”

Five-Year Outcome of MiniArc Single-Incision Sling Used in the Treatment of Primary Urodynamic Stress Incontinence

“…A comparative study with a standard MiniArc midurethral sling has shown to be comparable. Tutulo et al [14] reported no apparent difference in continence rates (89% vs 87%) between the MiniArc and Monarc, with median followup of 47 months for the MiniArc and 80 months for the Monarc. The MiniArc has been noted to have a signifi-cantly shorter operating time, less blood loss, and less postoperative pain [14,15]m all of which are evident in this current study.…”