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[Place of the mini-sling in the treatment of female stress urinary incontinence].
J Gynecol Obstet Biol Reprod (Paris). 2013 Nov; 42(7):639-46.JG

Abstract

OBJECTIVE

Evaluate the place of sub-urethral mini-slings in the treatment of female stress urinary incontinence.

MATERIAL AND METHODS

Review of the literature on 43 publications (comparative and prospective studies) more than 6443 patients who underwent for the treatment of urinary incontinence, a mini-strip type TVT®, TVT-S®, MiniArc®, Ajust®, Needleless®, Solyx®, or Ophira® in comparison to the conventional urethral sling. The comparison used objective (cough stress test and pad weight test) and subjective criteria (quality of life questionnaire). The papers have also studied the complication associated with these new techniques.

RESULTS

The overall effectiveness of this surgery varied between 40 to 84% for TVT-S®, 69 to 92% for MiniArc®, 80 to 91% for Ajust®, 87% for Needleless®, 95% for Solyx® and 85% for Ophira®. The efficacy on incontinence was higher with the TVT® TVT-S® and the MiniArc® (P=0.01 to 0.05). TVT-O® efficacy was higher than TVT-S® (P<0.01 and P=0.02). Conventional slings seems to be more efficient than TVT-S® and MiniArc® mini-slings. Ajust® mini-sling seems to be as efficient as MiniArc® and TVT-S® mini-sling and TVT-O®. It showed a decrease in the intensity of postoperative pain (P<0.001), faster return to normal activities (P=0.025) and use of a common local anesthetic to the adjustable mini-sling.

CONCLUSION

It seems that the adjustable mini-sling is currently the best compromise in terms of effectiveness and complications if the choice had to be among the mini-sling in the treatment of stress urinary incontinence.

Authors+Show Affiliations

Département de gynécologie-obstétrique, centre hospitalier Dunkerque, GCS Flandre-Maritime, avenue de la Polyclinique, 59760 Grande-Synthe, France.No affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Evaluation Study
Journal Article
Review

Language

fre

PubMed ID

23973118

Citation

Castellier, C, et al. "[Place of the Mini-sling in the Treatment of Female Stress Urinary Incontinence]." Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction, vol. 42, no. 7, 2013, pp. 639-46.
Castellier C, Doucède G, Debodinance P. [Place of the mini-sling in the treatment of female stress urinary incontinence]. J Gynecol Obstet Biol Reprod (Paris). 2013;42(7):639-46.
Castellier, C., Doucède, G., & Debodinance, P. (2013). [Place of the mini-sling in the treatment of female stress urinary incontinence]. Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction, 42(7), 639-46. https://doi.org/10.1016/j.jgyn.2013.07.002
Castellier C, Doucède G, Debodinance P. [Place of the Mini-sling in the Treatment of Female Stress Urinary Incontinence]. J Gynecol Obstet Biol Reprod (Paris). 2013;42(7):639-46. PubMed PMID: 23973118.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Place of the mini-sling in the treatment of female stress urinary incontinence]. AU - Castellier,C, AU - Doucède,G, AU - Debodinance,P, Y1 - 2013/08/20/ PY - 2013/04/18/received PY - 2013/06/20/revised PY - 2013/07/01/accepted PY - 2013/8/27/entrez PY - 2013/8/27/pubmed PY - 2014/6/10/medline KW - Chirurgie de l’incontinence urinaire KW - Incontinence urinaire de la femme KW - Mini-bandelettes sous-urétrales KW - Mini-slings KW - Single-incision mini-sling KW - Stress urinary incontinence KW - Surgery of stress incontinence SP - 639 EP - 46 JF - Journal de gynecologie, obstetrique et biologie de la reproduction JO - J Gynecol Obstet Biol Reprod (Paris) VL - 42 IS - 7 N2 - OBJECTIVE: Evaluate the place of sub-urethral mini-slings in the treatment of female stress urinary incontinence. MATERIAL AND METHODS: Review of the literature on 43 publications (comparative and prospective studies) more than 6443 patients who underwent for the treatment of urinary incontinence, a mini-strip type TVT®, TVT-S®, MiniArc®, Ajust®, Needleless®, Solyx®, or Ophira® in comparison to the conventional urethral sling. The comparison used objective (cough stress test and pad weight test) and subjective criteria (quality of life questionnaire). The papers have also studied the complication associated with these new techniques. RESULTS: The overall effectiveness of this surgery varied between 40 to 84% for TVT-S®, 69 to 92% for MiniArc®, 80 to 91% for Ajust®, 87% for Needleless®, 95% for Solyx® and 85% for Ophira®. The efficacy on incontinence was higher with the TVT® TVT-S® and the MiniArc® (P=0.01 to 0.05). TVT-O® efficacy was higher than TVT-S® (P<0.01 and P=0.02). Conventional slings seems to be more efficient than TVT-S® and MiniArc® mini-slings. Ajust® mini-sling seems to be as efficient as MiniArc® and TVT-S® mini-sling and TVT-O®. It showed a decrease in the intensity of postoperative pain (P<0.001), faster return to normal activities (P=0.025) and use of a common local anesthetic to the adjustable mini-sling. CONCLUSION: It seems that the adjustable mini-sling is currently the best compromise in terms of effectiveness and complications if the choice had to be among the mini-sling in the treatment of stress urinary incontinence. SN - 1773-0430 UR - https://www.unboundmedicine.com/medline/citation/23973118/[Place_of_the_mini_sling_in_the_treatment_of_female_stress_urinary_incontinence]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0368-2315(13)00169-5 DB - PRIME DP - Unbound Medicine ER -