Safety and Efficacy of the Solyx Single-Incision Sling for the Treatment of Stress Urinary Incontinence: Preliminary Results

Serels, Scott; Nosseir, S.; Lind, L.F.; Winkler, Harvey A.

doi:10.3834/uij.1944-5784.2011.02.05

Cited by 4 publications

(3 citation statements)

References 22 publications

(16 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Additionally, there were no significant intraoperative or postoperative complications. Finally, patients did not report any implant related pain postoperatively, which further confirms the minimally invasive nature of the device [6].…”

Section: Discussionsupporting

confidence: 54%

See 1 more Smart Citation

Long Term Follow up of the Solyx Single Incision Sling in the Treatment of Female Stress Urinary Incontinence (SUI)

Serels¹,

Douso²

2014

OJU

Self Cite

View full text Add to dashboard Cite

Objectives: The Solyx System was developed to be easier and safer to use than other slings. It was the objective of this study to retrospectively assess the long-term safety and efficacy of the Solyx™ SIS Sling System. Methods: After IRB approval and informed consent, chart reviews with follow up phone questionnaires of 69 subjects implanted with the Solyx Sling were collected at 2 sites. All of the patients had SUI and had urethral hypermobility with a q-tip test of >30 degrees. All subjects underwent surgery from 12/2008 to 01/2010 with a mean follow up of 43 months (range 39 -49). Subjects included in this data collection had a mean age of 67 years (range 30 -87). The dominant type of incontinence within the study patients was SUI while 17/69 (25%) of the subjects also had a component of urge incontinence. 38/69 (55%) of study patients had concomitant procedures. Results: Longterm Solyx results showed 64/69 (93%) of patients were subjectively dry by questionnaire and were satisfied with their outcome. 63/69 (91%) would have the procedure again. There were 4 cases of denovo urge incontinence and 2 reports of transient retention. There were no serious adverse events including no bladder, bowel, vessel or nerve perforations and no erosions or extrusions. No pain was reported that was attributed to the implant. Conclusions: Chart review with follow phone questionnaires indicated that the Solyx Sling was a safe, efficacious and less-invasive option for patients requiring SUI surgery and that these results were sustainable for an average of 43 months.

show abstract

Section: Discussionsupporting

confidence: 54%

“…efficacy [5,6]. The Solyx™ sling is a single incision midurethral sling, which is 9 cm in length and has nonabsorbable polypropylene darts on each end of the sling.…”

mentioning

confidence: 99%

Long Term Follow up of the Solyx Single Incision Sling in the Treatment of Female Stress Urinary Incontinence (SUI)

Serels¹,

Douso²

2014

OJU

Self Cite

View full text Add to dashboard Cite

show abstract

“…Both MiniArc and Solyx tapes were inserted according to the original methods described by Debodinance[ 11 ] and Serels, respectively. [ 12 ] To conjure the correct amount of tension, a right angle Pean was placed in the center of the sling at the incision site to mimic a snug-fit before final fixation. Cystoscopy was performed on each patient following the sling insertion to make sure patients were free from urethral and bladder injury.…”

Section: Aterials and M Ethodsmentioning

confidence: 99%

Comparison of clinical efficacy and urodynamic changes using single-incision slings (MiniArc^® vs. Solyx™) for the treatment of female stress urinary incontinence

Chiang

Sun

Chang

et al. 2021

Gynecol Minim Invasive Ther

View full text Add to dashboard Cite

Objective: To compare the clinical efficacy and urodynamic parameter changes between the MiniArc and the Solyx sling for the treatment of female urodynamic stress incontinence (USI). Materials and Methods: One-hundred and thirty (MiniArc n = 79, BS-Solyx n = 51) patients were included in this study. Cough stress test (ST), pad test (PT), Incontinence Impact short form Questionnaire (IIQ-7), Urogenital Distress Inventory six-item questionnaire (UDI-6), Sexual Questionnaire-Short Form (PIS-Q), and urodynamic parametric changes were assessed to determine objective and subjective outcomes following the procedure. Objective cure was defined as negative ST and PT <2 g and subjective cure was defined as “No” to the answer of UDI-6 Question #3. Predictors of surgical failure were also determined. Results: All Solyx users, as opposed to 91.1% of MiniArc patients, obtained objective cure at postoperative 3 months ( P = 0.042). No significant difference in subjective cure rates (93.7% vs. 90.2% at 3-months ( P = 0.513); 89.9% vs. 80.4% at 1 year for Solyx and MiniArc patients, respectively ( P = 0.126)) and improvement scores in UDI-6 and IIQ-7 were observed. The Solyx group incurred more de novo urgency (17.6% vs. 6.3% at 3 months ( P = 0.042); 23.5% vs. 7.6% at 1 year ( P = 0.01)). Both procedures yielded significant decrements in maximal urethral closure pressure ( P < 0.001) and average flow rate ( P = 0.015). The preoperative PT and sling type were strong predictors of surgical failure, where the Solyx tape reported lower odds (odds ratio = 0.174, P = 0.02) compared to the MiniArc sling. Conclusion: Single-incision mini-slings are safe and effective treatment for female USI. The Solyx SIS demonstrated superiority over the MiniArc in this study based on its higher objective cure rate and lower risk for surgical failure.

show abstract

Clinical outcomes on tension-releasing suture appendage on single-incision sling devices for postoperative voiding dysfunction involving undue tape tension

Chua

Tseng

et al. 2018

Int Urogynecol J

View full text Add to dashboard Cite

Safety and Efficacy of the Solyx Single-Incision Sling for the Treatment of Stress Urinary Incontinence: Preliminary Results

Cited by 4 publications

References 22 publications

Long Term Follow up of the Solyx Single Incision Sling in the Treatment of Female Stress Urinary Incontinence (SUI)

Long Term Follow up of the Solyx Single Incision Sling in the Treatment of Female Stress Urinary Incontinence (SUI)

Comparison of clinical efficacy and urodynamic changes using single-incision slings (MiniArc^® vs. Solyx™) for the treatment of female stress urinary incontinence

Clinical outcomes on tension-releasing suture appendage on single-incision sling devices for postoperative voiding dysfunction involving undue tape tension

Contact Info

Product

Resources

About

Safety and Efficacy of the Solyx Single-Incision Sling for the Treatment of Stress Urinary Incontinence: Preliminary Results

Cited by 4 publications

References 22 publications

Long Term Follow up of the Solyx Single Incision Sling in the Treatment of Female Stress Urinary Incontinence (SUI)

Long Term Follow up of the Solyx Single Incision Sling in the Treatment of Female Stress Urinary Incontinence (SUI)

Comparison of clinical efficacy and urodynamic changes using single-incision slings (MiniArc® vs. Solyx™) for the treatment of female stress urinary incontinence

Clinical outcomes on tension-releasing suture appendage on single-incision sling devices for postoperative voiding dysfunction involving undue tape tension

Contact Info

Product

Resources

About

Comparison of clinical efficacy and urodynamic changes using single-incision slings (MiniArc^® vs. Solyx™) for the treatment of female stress urinary incontinence