A randomized prospective comparison of the needleless mini‐sling “hammock” and “U‐shape” configurations for management of stress urinary incontinence: 60-month follow‐up results

• Published in: Archives of gynecology and obstetrics Vol. 310; no. 3; pp. 1733 - 1738
• Main Authors: Doğan, Ozan, Başbuğ, Alper, Eren, Ecem, Yassa, Murat
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.09.2024; Springer Nature B.V
• Subjects: Archives & records; Endocrinology; Gynecology; Hospitals; Human Genetics; Likert scale; Medicine; Medicine & Public Health; Obstetrics; Obstetrics/Perinatology/Midwifery; Surgeons; Surgery; Urinary incontinence; Urine; Urogynecology; Urinary incontinence; Midurethral sling; Stress urinary incontinence; Tension-free vaginal tape; Mini-slings
• ISSN: 1432-0711; 0932-0067; 1432-0711
• DOI: 10.1007/s00404-024-07567-2

Objective To compare needleless mini-slings placed in a retropubic (U-shape) or trans-obturator (hammock-shape) configuration for treating stress urinary incontinence at 60th month. Methods All 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. Results After 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. Conclusion Given 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.