Ultrasonography and clinical outcomes following surgical anti-incontinence procedures (Monarc vs Miniarc)

Comparison of single-incision mini-slings (Ajust) and standard transobturator midurethral slings (Align) in the management of female stress urinary incontinence: A 1-year follow-up

“…However, the effectiveness of SIMS in women with SUI in Taiwan is still uncertain. Only one study from Taiwan has compared the clinical outcome of a SIMS-MiniArc (SIS, American Medical Systems Inc., Minnetonka, MN, USA) and SMUS-Monarc (TOT; American Medical Systems) in the management of female SUI, and the results showed a similar mechanism of action with comparable subjective and objective clinical outcomes [16]. Our current study might be the first comparing two devices from the same company: SIMSAjust and SMUS-Align (C.R.…”

Influence of anterior vaginal mesh with concomitant mid‐urethral sling surgery on stress urinary incontinence: clinical and sonographic outcome

“…There were higher percentages of SUI success in women with greater compression (change of distance of tape to urethra) of the MUS during Valsalva compared with those who reported failure. There is a possibility that both dynamic kinking and urethral compression play a role in the function of anti‐incontinence surgery . It would be difficult to determine which among these two is responsible due to the complexity of interaction.…”

“…These measurements were repeated at maximum Valsalva captured utilising cine save and playback options on the ultrasound machine. Women were asked to perform the Valsalva three times, and the most effective performance was used …”

“…The mobility of the tape, mesh and bladder neck was calculated from the displacement of tape, mesh and bladder neck position between resting and maximal straining (x, y) using the formula √(δx) 2 + (δy) 2 , respectively. The ultrasound parameters exploring the tape tension included distance between the tape and urethral mucosa (TU), the longest (Ul) and shortest diameters (Us) and area of the urethral core were measured at rest and during Valsalva as described by Lo et al . In addition, the percentage of urethra where the tape is located in the middle and the presence of urethral kinking during the Valsalva manoeuvre was recorded.…”

“…The first line of surgical treatment for SUI is by mid‐urethral sling (MUS) . MUS has been studied extensively with ultrasound, and several mechanisms have been proposed . However, there is a lack of data about its interaction with anterior vaginal mesh (AVM) with concomitant surgery for POP and SUI.…”