Dogan, OzanBasbug, AlperEren, EcemYassa, Murat2024-08-232024-08-2320240932-00671432-0711https://doi.org/10.1007/s00404-024-07567-2https://hdl.handle.net/20.500.12684/14548ObjectiveTo compare needleless mini-slings placed in a retropubic (U-shape) or trans-obturator (hammock-shape) configuration for treating stress urinary incontinence at 60th month.MethodsAll surgeries, conducted by a senior surgeon, involved objective and subjective assessments preoperatively and at 6, 12, 18, and 60 months postoperatively using cough-stress tests, ICIQ-SF, PGI-I, and a Likert scale.ResultsAfter 60 months, no significant differences were found in cure rates, mesh complications, or reinterventions between U-shaped and hammock-shaped groups. However, a significant decrease in cure rates was observed at 18 and 60 months in both groups. Notable differences in ICIQ-SF, Likert scale, and PGI-I scores were seen in the hammock-shaped group, while the U-shaped group showed differences in ICIQ-SF and PGI-I scores, but not in the Likert scale.ConclusionGiven the lack of significant differences, asserting the superiority of either retropubic (U-shape) or transobturatorly (hammock-shape) needleless mini-slings for treating stress urinary incontinence is challenging.en10.1007/s00404-024-07567-2info:eu-repo/semantics/closedAccessMidurethral slingMini-slingsStress urinary incontinenceTension-free vaginal tapeUrinary incontinenceSafetyTapeFixationArticle388610262-s2.0-85195635590WOS:001244800800001Q2N/A