Details

Autor(en) / Beteiligte

• Lizée, D
• Cornu, J-N
• Peyrat, L
• Ciofu, C
• Beley, S
• Haab, F

Titel

Mini-sling for management of stress urinary incontinence in women: a literature review

Ist Teil von

• Progrès en urologie (Paris), 2013-09, Vol.23 (11), p.917

Ort / Verlag

France

Erscheinungsjahr

2013

Quelle

MEDLINE

Beschreibungen/Notizen

• To conduct a review about the use of single incision mini-slings (SIMS) to manage non-neurogenic stress urinary incontinence in women. Literature search in Pubmed/MEdline database until june 2013. TVT-Secur™ was excluded because this device is not anymore marketed. Ajust™ and Mini-Arc™ were the two main SIMS evaluated in the literature. Studies about Mini-Arc™ generated heterogeneous results, with a success rate between 44% and 91% after 1 year. Ajust™ was the most promising device with 80% efficacy after mid-term follow-up. All evaluated SIMS had a low rate of immediate complications. Two randomized controlled trials comparing SIMS and traditional mid-urethral slings were identified, as well as one meta-analysis; they all concluded to non-superiority or inferiority for the mini-sling versus traditional slings. Due to short follow-up, limited evidence and heterogeneous data, SIMS are not yet standard of care and further research is warranted.