A new promising approach to urodynamic stress urinary incontinence care can help menopausal women

• Published in: Przegla̜d menopauzalny Vol. 22; no. 3; pp. 121 - 125
• Main Authors: Khafagy, Wael, ElBassioune, Walaa, Rady, Mahmoud, Farouk, Elmetwally, Elhelw, Ehab, Saeed, Ahmed, Mahmoud, Ahmed, Abuelmatti, Hamada, Elsheikh, Ahmed, Mahmoud, Mohamed, Hussein, Mohammed, Zaky, Ahmed, Abdeltawab, Ahmed, Ali, Soliman, Altoraky, Muhammad, Hegazy, Mahmoud, Almorsy, Ahmed, Alghazaly, Moatazza, Rehan, Mohamed, Elnady, Esam, Khater, Saed, Mahmoud, Alaa, Elsayed, Ahmed, Deif, Hazem
• Format: Journal Article
• Language: English
• Published: Termedia Publishing House 01.09.2023
• Subjects: Original Paper; postmenopausal women; single-incision mini-sling; trans-obturator mid-urethral sling; urodynamic stress urinary incontinence
• ISSN: 1643-8876; 2299-0038
• DOI: 10.5114/pm.2023.131058

IntroductionThe goal of this study is to evaluate the effectiveness of single-incision mini-sling in the surgical treatment of postmenopausal urodynamic stress urinary incontinence (SUI) compared to the standard trans-obturator mid-urethral sling.Material and methodsThis prospective study was carried out in two tertiary centres; Al-Azhar University Maternity & Urology Hospitals. A total of 120 postmenopausal women with urodynamic SUI were randomized to undergo either single-incision mini-sling (n = 60) or standard trans-obturator mid-urethral sling procedure (n = 60) from May 2019 until Oct 2021. Main outcome measures: efficacy was evaluated utilizing objective cure rate (cough stress test) and subjective cure rate (Sandvik incontinence severity index and International Consultations on Incontinence Questionnaire - Short Form), intraoperative and postoperative complications, and postoperative pain (using a visual analogue scale).ResultsThe single-incision mini-sling (SIMS) and transobturator tape (TOT) groups had no statistically significant difference in subjective and objective cure rates (p > 0.05). Compared with the transvaginal tape O group, patients in the SIMS group had significantly less postoperative pain, shorter operative duration, and less intraoperative blood loss (all p-values < 0.05). No significant difference in perioperative complications was observed between both groups.ConclusionsSingle-incision mini-sling was superior to TOT in postmenopausal as SIMS is of similar effectiveness, more safe and minimally invasive with earlier ambulance.