A randomized comparison of a single-incision needleless (Contasure-needleless®) mini-sling versus a mid-urethral sling (Contasure-KIM®): 60-month follow-up results

Basit Öğe Kaydı
dc.authoridcomert, erhan huseyin/0000-0003-1431-2294;
dc.contributor.authorDogan, Ozan
dc.contributor.authorKadirogullari, Pinar
dc.contributor.authorComert, Erhan Huseyin
dc.contributor.authorBasbug, Alper
dc.contributor.authorYassa, Murat
dc.date.accessioned2025-10-11T20:48:34Z
dc.date.available2025-10-11T20:48:34Z
dc.date.issued2025
dc.departmentDüzce Üniversitesien_US
dc.description.abstractObjectives: Mid-urethral sling (MUS) insertion is the gold standard approach to treat stress urinary incontinence (SUI) and adaptable single-incision mini-slings (SIMSs) aim to reduce complications. A previous study of our team has found that SIMSs were comparable to transobturator slings in cure rates after 24 months of follow-up. This study aims to compare the rates of cure, complications and re-intervention of both slings over a long-term follow-up of 5 years. Study Design: In this prospective trial, 179 women with SUI were randomly assigned to groups. A single surgeon performed all surgeries, and a blinded surgeon conducted 60-month follow-up exams. Objective and subjective cure was defined as a negative cough-stress test, and the absence of SUI based on ICIQ-SF, particularly. Failure was defined as the need for reoperation. Results: The 5-year subjective cure rates were comparable between TOT (75.0 %) and SIMS (65.8 %) groups (p = 0.281). Both groups exhibited decreased subjective cure rates from 24 to 60 months (p = 0.044 for TOT, p = 0.001 for SIMS). Mesh complication rates over 24 months were similar in TOT (7.9 %) and SIMS (6.8 %) groups (p = 0.528). Objective cure rates at 60 months were similar for both TOT (78.9 %) and SIMS (69.9 %) groups (p = 0.139). Reintervention for SUI was not significantly different between TOT (6.6 %) and SIMS (12.3 %) at 60 months (p = 0.098). Conclusion: Single-incision needleless mini-slings showed similar cure rates to trans-obturator mid-urethral slings in 60-month follow-up. However, the objective cure rates decreased significantly from 24 to 60 months in the SIMS group (89.9 % to 69.9 %) compared to the TOT group (85.4 % to 78.9 %) (p = 0.002).en_US
dc.identifier.doi10.1016/j.ejogrb.2025.01.040
dc.identifier.endpage12en_US
dc.identifier.issn0301-2115
dc.identifier.issn1872-7654
dc.identifier.pmid39879743en_US
dc.identifier.scopus2-s2.0-85216185705en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage7en_US
dc.identifier.urihttps://doi.org/10.1016/j.ejogrb.2025.01.040
dc.identifier.urihttps://hdl.handle.net/20.500.12684/21991
dc.identifier.volume307en_US
dc.identifier.wosWOS:001413795200001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofEuropean Journal of Obstetrics & Gynecologyand Reproductive Biologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKA_WOS_20250911
dc.subjectMidurethral slingen_US
dc.subjectMini-slingsen_US
dc.subjectSingle-incision tapesen_US
dc.subjectStress urinary incontinenceen_US
dc.titleA randomized comparison of a single-incision needleless (Contasure-needleless®) mini-sling versus a mid-urethral sling (Contasure-KIM®): 60-month follow-up resultsen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu