A randomized comparison of a single-incision needleless (Contasure-needlelessA (R)) mini-sling versus an inside-out transobturator (Contasure-KIMA (R)) mid-urethral sling in women with stress urinary incontinence: 24-month follow-up results

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dc.contributor.authorDoğan, Ozan
dc.contributor.authorKaya, Aşkı Ellibeş
dc.contributor.authorPulatoğlu, Çiğdem
dc.contributor.authorBaşbuğ, Alper
dc.contributor.authorYassa, Murat
dc.date.accessioned2020-04-30T22:38:49Z
dc.date.available2020-04-30T22:38:49Z
dc.date.issued2018
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionyassa, murat/0000-0001-8661-1192; dogan, ozan/0000-0002-0016-8749en_US
dc.descriptionWOS: 000443429400022en_US
dc.descriptionPubMed: 29549394en_US
dc.description.abstractThere is a shortage of reliable data on the efficiency of the under-investigated mini-slings to treat stress urinary incontinence (SUI). We aimed to compare the effectiveness of the single-incision needleless mini-sling (SIMS) with the transobturator inside-out mid-urethral sling (TOT). Two hundred one women with clinically proven SUI were included in this single-center prospective randomized trial. The patients were randomly allocated to the groups. All surgeries were done by the same single surgeon. Examinations were done by one other blinded surgeon. The patients were followed up for 24 months. Objective cure was defined as the absence of SUI and negative cough-stress test. Subjective cure was defined as no stress leakage of urine after surgery in a validated questionnaire. Failure of the surgery was defined as the need for reoperation. Every complaint was categorized by the IUGA/ICS Classification of Prosthesis-related Complications. The objective (85.4% versus 89.9%, p = 0.362) and subjective (87.6% versus 89.9%, p = 0.636) cure rates were similar with the TOT and SIMS at the postoperative month 24, respectively. The mesh exposure 1 cm rate was 3.4% for both groups, and the mesh exposure > 1 cm rate was 2.2% for both groups. Overall failure rates were 3.4% and 2.2% for the TOT and SIMS group, respectively. No viscus organ perforation was noted. Complications with the SIMS procedure were less painful compared with TOT (p = 0.024). Single-incision needleless mini-slings exhibited similar cure rates as the trans-obturator mid-urethral slings from both the patient and clinician points of view in 24 months of follow-up. Mini-slings resulted in significantly less postoperative pain than trans-obturator mid-urethral slings.en_US
dc.identifier.doi10.1007/s00192-018-3624-4en_US
dc.identifier.endpage1395en_US
dc.identifier.issn0937-3462
dc.identifier.issn1433-3023
dc.identifier.issue9en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1387en_US
dc.identifier.urihttps://doi.org/10.1007/s00192-018-3624-4
dc.identifier.urihttps://hdl.handle.net/20.500.12684/2467
dc.identifier.volume29en_US
dc.identifier.wosWOS:000443429400022en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringer London Ltden_US
dc.relation.ispartofInternational Urogynecology Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMidurethral slingen_US
dc.subjectMini-slingsen_US
dc.subjectSingle-incision tapesen_US
dc.subjectStress urinary incontinenceen_US
dc.subjectTension-free vaginal tapeen_US
dc.subjectUrinary incontinenceen_US
dc.titleA randomized comparison of a single-incision needleless (Contasure-needlelessA (R)) mini-sling versus an inside-out transobturator (Contasure-KIMA (R)) mid-urethral sling in women with stress urinary incontinence: 24-month follow-up resultsen_US
dc.typeArticleen_US

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