The MiniArc sling for female stress urinary incontinence: clinical results after 1-year follow-up

Abstract

Introduction and hypothesisThe objective of this study was the assessment of the efficiency of the MiniArc for curing stress urinary incontinence.MethodsSeventy-seven patients, operated on from March 2008 to November 2009, were evaluated in this study. One-year post-operative data are presented. All patients suffered from predominant stress urinary incontinence. After 1 year, response was 74%. Evaluation was performed using a questionnaire consisting of the EuroQol-5 Dimensions, the Patient Global Impression of Improvement, the Incontinence Impact Questionnaire, the Urinary Distress Inventory, the Prolapse/Urinary Incontinence Sexual Questionnaire, short form, and the Defecation Distress Inventory.ResultsOne year after surgery, 68% of the patients stated an improvement in their incontinence status, while only 44% stated to be completely dry.ConclusionThe 1-year follow-up suggests that the MiniArc is less effective in the treatment of stress urinary incontinence than the TVT.

Prospective Randomized Study of MiniArc and Ajust Single Incision Sling Procedures

“…7,15 The cure effect evaluated subjectively by ICI-SF/PGI-I was 85.7/82.4%. The cure effect of MiniArc as reported by Deole et al 16 and Hogewoning et al 17 was not so high. Deole et al reported a cure effect of 66% evaluated objectively by cough test 1 year after the operation, with subjective evaluation of the cure effect by ICI-SF reaching 64%, while in the Honewoning study the cure effect was evaluated by PGI-I (Patient Global Impression of Improvement scores) as 68%.…”

The introduction of mid-urethral slings: an evaluation of literature

“…Over the last decade, numerous MUS devices have been introduced, and although these products claimed to have sufficient similarity to the gold standard TVT, nowhere near all the devices were able to achieve comparable results [2][3][4][5]. So far, more than 2 million women worldwide have had surgery using MUS.…”

Stress urinary incontinence surgery with sling Miniarc: A 4-year results

“…Regarding results with the MiniArc ® sling after 1-year follow-up, we obtained cure rates ranging from 69 and 91%, 12,13 although there are also studies with lower success percentages, such as in the case of Hogewoning, who only achieved 44%. 14 In studies published after 2-year followup, we found among others the prospective, multicenter, single-arm study by Kenelly et al 15 who achieved 85% of objective cures and 90% of subjective cures, or the study published by Moore et al whose objective cure rates ranged from 81 to 86% after 2 years, depending on whether the patients were obese or not, though the differences among both groups were not statistically significant.…”