Abstract
BackgroundAdjustable single-incision mini-sling (SIMS) is a new category of SIMS for stress urinary incontinence (SUI). The aim of this study was to compare the efficacy and safety of adjustable single-incision mini-sling with other slings.MethodsLiterature search in databases such as Pubmed, and Conchrane Library was performed up to December, 2015. The outcomes including cure rate, operation time, postoperative pain score and complications were reanalyzed. The pooled relative risk (RR) and mean difference (MD) with their 95% confidence interval (95% CI) were calculated by RevMan v5.0.ResultsEight studies with 1093 SUI female patients were included. There was no significant difference between adjustable SIMS and other slings (transobturator slings and MiniArc) in patients subjective cure rate and objective cure rate. In addition, adjustable SIMS was associated with a significantly shorter operative time and lower postoperative pain score when comparing adjustable SIMS with transobturator tape (MD = − 1.35; 95%CI: -2.24 to − 0.46, P = 0.003). For the complications, there was also no significant difference between adjustable SIMS and transobturator slings.ConclusionsAdjustable SIMS had equally efficacy for SUI compared with transobturator slings and MiniArc. However, the significantly shorter operative time and lower postoperative pain score than transobturator tape supported the clinical application of adjustable SIMS.
Highlights
Adjustable single-incision mini-sling (SIMS) is a new category of SIMS for stress urinary incontinence (SUI)
No significant differences between adjustable SIMS and Tension-free vaginal tape (TVT)-O alone were detected
The pooled results showed that patients received adjustable SIMS had significantly lower postoperative pain scores than those received tension-free vaginal tape-obturator (TVT-O) at the first (MD = 1.69, 95%Confidence interval (CI): -2.84 to 0.53, P = 0.0001, Fig. 4c) and fourth (MD = − 0.73, 95% confidence interval (95%CI): 0.90 to − 0.55, P < 0.0001, Fig. 4d) day after operation
Summary
Adjustable single-incision mini-sling (SIMS) is a new category of SIMS for stress urinary incontinence (SUI). The aim of this study was to compare the efficacy and safety of adjustable single-incision mini-sling with other slings. Afterwards, a new tensionfree midurethral vaginal sling, which is known as singleincision mini-slings (SIMS) and the third generation of midurethral sling, is developed with the advantage of avoiding both retropubic and groin muscle trajectories [11], such as TVT-Secur and MiniArc [12]. A previous meta-analysis, which compared the safety and efficacy of SIMS with standard midurethral sling (SMUS, including TVT, TOT and TVT-O), did not show the superior outcomes of SIMS to SMUS [13].
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