Tension-Free Midurethral Slings in the Treatment of Female Stress Urinary Incontinence: A Systematic Review and Meta-analysis of Randomized Controlled Trials of Effectiveness

Novara, Giacomo; Ficarra, Vincenzo; Boscolo‐Berto, Rafael; Secco, Silvia; Cavalleri, Stefano; Artibani, Walter

doi:10.1016/j.eururo.2007.06.018

Cited by 161 publications

(102 citation statements)

References 40 publications

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“…The longterm success rates (5-10 years) reported in the literature are 78 % (14) to 90% (14) for colposuspension and 81% for the TVT (15). The outcome reported for transobturator tapes is comparable to that of the TVT procedure (16). A new method should be similar or superior to established therapies and/or be safer and technically easier to handle.…”

Section: Discussionmentioning

confidence: 71%

The Miniarc® sling system in the treatment of female stress urinary incontinence

Gauruder-Burmester

Popken

2009

Int. braz j urol.

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Aims:To assess the technical feasibility of a new mini-invasive sling procedure (MiniArc®) and present short-term results in the treatment of female urinary incontinence. Materials and Methods: A total of 97 women with mixed or stress urinary incontinence (SUI) were treated by placement of the new single-incision sling. Pelvic organ prolapse was graded using the POP-Q system (pelvic organ prolapse quantification system). Preoperative workup included urodynamic evaluation, cough stress test and introital ultrasound. Postoperatively, introital ultrasound was performed to determine residual urine and check tape position. Quality of life was measured using King's Health Questionnaire. A voiding diary and pad count served to verify the patients' subjective complaints. Results: The MiniArc® single-incision sling procedure was the initial intervention in 37 (38.2%) patients and the second intervention in 60 (61.7%) patients with recurrent incontinence. The cough stress test was negative in 79 (83.1%) women 6 weeks after the sling procedure and in 74 (77.8%) at 12 months. De novo urge occurred in 32 (36.8%) women. Quality of life was significantly improved at 12-month follow-up in 65 (69.1%) patients (p < 0.001). The number of pads decreased significantly from 2.2 to 0.6 (p < 0.001) after the procedure. One patient developed an hematoma and bladder perforation occurred in another. Conclusions: Our short-term clinical results suggest that the MiniArc® is a safe and effective minimally invasive sling procedure for treating female SUI. Randomized comparative controlled trials and long-term results are still required to define the role of the new sling system in comparison to established mid-urethral tape techniques for treating incontinence.

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Section: Discussionmentioning

confidence: 71%

The Miniarc® sling system in the treatment of female stress urinary incontinence

Gauruder-Burmester

Popken

2009

Int. braz j urol.

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“…Giacomo Novara et al [14], in their recent meta-analysis, the rates of continence were 65% to 92% with TVT.Burch determined continence rates of 72% to 86%, which were lower than those with TVT.The rates with TVT and pubovaginal slings were equal.The continence rates with retropubic slings (Intravaginal slingplasty(IVS), SPARC) were 78% to 87%.With TVT,higher continence rates were found than the rates with the other retropubic types(IVS, SPARC), while the continence rates with retropubic and Transobturatuar type(TOT) interventions were found to be equal despite lack of sufficient data. TVT, BURCH, Pubovaginal slings and IVS were found to have similar complication rates.…”

Section: Discussionmentioning

confidence: 98%

The Effectiveness and Complications of Double-Forced Sling Method in Stress Incontinence Surgery

Okulu¹,

Ener²,

Aldemir³

et al. 2013

Ann Clin Anal Med

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and Boney test, supine stress test, and urination diary, 24-hour pad test, cystoscopy and urodymanics measurements (cystometry and Valsalva leak point pressure) were recorded for each patient. The patients filled out ICIQ-SF and Korman questionnaires for urinary incontinence.The data of the patients and the success of the operation were evaluated based on 24hr pad test, ICIQ-SF scoring,and Korman questionnaire analysis. Results: The mean age of the patients was 49.7 ± 8.7 years (range: 31-75 years). None of the patients suffered intraoperational complications. In all of the patients, the postoperative 6th,12th, and 48th months ICIQ-SF scores, pad counts and pad test were reached to the statistically significant lower than those of the preoperative period (p<0.05)Postoperatively, in the 48th month, 135 patients (93.75%) had continence rate and the patient satisfaction rates for all patients were as 125 patients (86.8%). Four patients (2.77%) had vaginal extrusion, and 2 patients (1.38%) had urethral extrusion. Four patients (2.77%) had suture granuloma and ten patients (6.94%) had de novo urgency. Discussion: Broad based double forced sling is an effective technique in the treatment of stress urinary incontinence and type of the mesh used in sling surgery is very critical point and further clinical and experimental studies are needed.

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“…These authors have shown in a previous publication that women with a short cervix, as measured by transvaginal ultrasound, and a history of preterm birth have a lower risk of recurrent preterm birth if treated with cervical cerclage 1 . In this secondary analysis, they question whether a woman's body mass index (BMI) influences that effect.…”

mentioning

confidence: 99%

“…In the high-risk population with a short cervix, the outcome of cerclage versus progesterone therapy must be the next question to be addressed within an RCT. If such a study could also determine what treatment is best for differing cut-offs of short cervical length (< 15 mm Finding the safest and most effective way of treating genuine stress incontinence remains an elusive goal to this day 1 . In this issue of the Journal, Huang and colleagues report on a prospective observational study comparing the effects of two commonly used transobturator suburethral sling procedures (Monarc and TVT-O) on biomechanical functional outcomes.…”

mentioning

confidence: 99%

Re: Functional and morphological differences following Monarc and TVT‐O procedures. W.‐C. Huang, S.‐H. Yang, J.‐M. Yang and C.‐R. Tzeng. Ultrasound Obstet Gynecol 2012; 40: 699–705

Barry

2012

Ultrasound in Obstet & Gyne

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Tension-Free Midurethral Slings in the Treatment of Female Stress Urinary Incontinence: A Systematic Review and Meta-analysis of Randomized Controlled Trials of Effectiveness

Cited by 161 publications

References 40 publications

The Miniarc® sling system in the treatment of female stress urinary incontinence

The Miniarc® sling system in the treatment of female stress urinary incontinence

The Effectiveness and Complications of Double-Forced Sling Method in Stress Incontinence Surgery

Re: Functional and morphological differences following Monarc and TVT‐O procedures. W.‐C. Huang, S.‐H. Yang, J.‐M. Yang and C.‐R. Tzeng. Ultrasound Obstet Gynecol 2012; 40: 699–705

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