You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Incontinence, Evaluation & Therapy (II)1 Apr 20131039 THE MINIARCR-SINGLE INCISION SLING: LONG TERM SUCCESS! Saad Juma Saad JumaSaad Juma Encinitas, CA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.625AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The success rate of MINIARCR-Single Incision Sling (MINIARCR) in the management of stress urinary incontinence (SUI) at short and intermediate follow-up is well documented in the literature. The objective of this retrospective analysis is to evaluate the success rate of MINIARCR in patients with SUI at short, intermediate and long term follow-up using dry rates and patient satisfaction rates as reported on quality of life questionnaire (QOL). METHODS One hundred and thirty two patients who had MINIARCR were the subjects of this review. Preoperative and postoperative evaluation included; history [including pads used per day (PPD)], physical examination, and QOL [Incontinence impact questionnaire (IIQ), Urogenital distress inventory (UDI), and patient satisfaction visual analog scale (VAS)]. All patients had preoperative urodynamic studies and cystoscopy. RESULTS The patients were divided in 4 groups. Group-1 (n=64) mean follow-up 6 (1-12) months, group-2 (n=36) mean follow-up 16 (12-24) months, group-3 (n=12) mean follow-up 25 (24-36) months, and group-4 (n=20) mean follow-up 51 (36-60) months. Preoperatively, group-1 QOL scores were IIQ 10.19, UDI 8.03, VAS 2.94, and PPD 2.03. Group-2 QOL scores were IIQ 10.25, UDI 9.22, VAS 3.44, and PPD 2.54. Group-3 QOL scores were IIQ 9.36, UDI 10.18, VAS 2.54, and PPD 2.0. Group-4 QOL scores were IIQ 9.11, UDI 9.44, VAS 2.85, and PPD 1.85. Postoperatively; group-1 reported incidence of SUI 12.5%, urge urinary incontinence (UUI) 15.62%, and PPD 0.36. QOL scores improvement for IIQ 74.97%, UDI 69.98% and VAS 181.97%. Group-2 reported incidence of SUI 16.6%, UUI 41.66%, and PPD 0.75. QOL scores improvement for IIQ 68.97%, UDI 63.88% and VAS 112.20%. Group-3 patients reported incidence of SUI 25%, UUI 33%, and PPD 0.58. QOL scores improvement for IIQ 50.21%, UDI 64.04% and VAS 127.16%. Group-4 reported incidence of SUI 40%, UUI 50%, and PPD 0.68. QOL scores improvement for IIQ 45.77%, UDI 52.11% and VAS 83.15%. CONCLUSIONS These data demonstrate progressive decline in dry rates after MINIARCR-Single Incision Sling at more than 3 years follow-up, though patients' satisfaction remains high. Higher rates at short and intermediate follow up support a successful technique. Further studies are needed to validate the long-term success of the MINIARCR-Single Incision Sling in the management of SUI. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e426-e427 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Saad Juma Encinitas, CA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...