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Single-Incision Minimally Invasive Sling Effective in Women With Stress Urinary Incontinence: Presented at AUGS By Charlotte Libov HOLLYWOOD, Fla -- September 28, 2009 -- A single-incision, minimally invasive sling is a safe, effective, and increasingly simple way to treat stress urinary incontinence in women, researchers stated here at the 30th Annual Scientific Meeting of the American Urogynecologic Society (AUGS). “Physicians are always looking for a procedure that can be done safer and with higher success,” said Douglas Van Drie, MD, Institute of Michigan, Grand Rapids, Michigan, on September 24. “This procedure has extremely good success and extremely low morbidity, and also shows the potential of being done in a doctor’s office, instead of a hospital.” Dr. Drie discussed the first 6 months of data from the ongoing 2-year study. The first-year data is nearly complete, and full study results will be presented next year, he added. The multicentre, prospective study involved 151 women (mean age, 51 years). For the procedure, a single incision (1.5 cm) was made at the mid-urethral level and the sling was placed along the transobturator trajectory into the obturator internus muscles. Data was collected at baseline, 7 days, and at 6 months for estimated blood loss, length of stay, and pain scores at discharge. The median length of stay was 2.8 hours and the median estimated blood loss was 25 mL. Mean pain scores at discharge were 0.78 +- 1.23, and 0.6 +- 1.2 at day 7. Based on the Incontinence Questionnaire (UDI)-6 question number 2, improvement of urgency was reported in 81% of patients. Adverse effects were few, with the most commonly reported being urinary tract infections (3), dyspareunia (3), and extrusion (2). There was 1 intra-operative complication (vaginal wall perforation). Dr. Van Drie noted that 38 of 152 of the procedures were done in an office setting instead of a hospital. “Women are used to other office-based procedures, such as endometrial ablation. Now, if they can have their stress urinary incontinence treated in the office with a procedure that doesn’t require general anaesthetic, it offers it to a lot more patients,” he said. [Presentation title: 6 Months Prospective Evaluation on Miniarc Single Incision Minimally Invasive Sling for the Treatment of Stress Urinary Incontinence. Paper 5] E-mail this page to a friend or colleague! To print, use this version