Short-medium term outcomes of Altis® single-incision sling for stress urinary incontinence in an Asian single-centre

Abstract

Aims:This study describes our initial experience with the Altis® Single Incision Sling (SIS) for the treatment of female Stress Urinary Incontinence (SUI) and its efficacy. Methods:In this retrospective study, the data of 83 women who underwent surgery with Altis® SIS by a single surgeon at our centre from August 2017 to December 2018 were analysed. The pre-operative, intra-operative, post-operative and the 1, 6, 12 and 24 months follow-up data of these patients were evaluated. Results:The median age of patients was 60 years old. 19 patients (22.9%) had Altis® SIS surgery alone while the rest had concomitant procedures such as vaginal hysterectomy (65.1%), vaginal mesh augmentation (43.4%), posterior pelvic floor repair (68.7%) and sacrospinous ligament fixation (41.0%). The mean duration for Altis® SIS surgery alone was 15.0 min with an median blood loss of 10.0 mls. There were no significant intraoperative complications such as bladder perforation or major bleeding requiring transfusion.83 (100%), 79 (95.2%), 75 (90.4%) and 59 (71.1%) out of 83 patients attended their 1, 6, 12 and 24 month appointments respectively. Subjective cure was noted in 80 (96.4%), 77 (97.5%), 74 (98.7%) and 55 (93.2%) patients at 1, 6, 12 and 24 months respectively. Urodynamic study (UDS) was repeated at 6 months postoperatively and the objective cure rate was 91.0%. 1 patient (1.2%) had voiding difficulty post-operatively and required tape loosening. Conclusion:The short-medium term cure rates and perioperative complications for Altis® SIS were comparable to other studies on mid-urethral sling surgery. It appears to be safe and effective. Brief summary:In this retrospective study, the data of 83 women who underwent surgery with Altis® Single-incision sling at our centre were analysed and evaluated for its efficacy and safety.