Comparison of single-incision mini-slings (Ajust) and standard transobturator midurethral slings (Align) in the management of female stress XXXX : A 1-year follow-up.

@entity1 @entity322 @entity190 @entity2681 @entity86 @entity546 @entity282
OBJECTIVE: To investigate the effectiveness and safety of a new single-incision mini-sling (SIMS)-Ajust-compared with the standard transobturator midurethral sling (SMUS)-Align-for the treatment of female stress @entity322 (SUI). MATERIALS AND METHODS: A retrospective cohort study was conducted between January 1, 2010 and August 31, 2012. @entity1 with SUI who underwent either SMUS-Align or SIMS-Ajust were recruited. The primary outcomes included operation time, estimated operative @entity190 , @entity282 , and complications. The secondary outcomes included subjective and objective success, defined as an International Consultation on Incontinence Questionnaire (ICIQ) score of 0 or improvement as felt by the @entity1 and a long-term complication, such as @entity546 and @entity2681 after 6 months and 12 months of follow-up. RESULTS: A total of 136 @entity1 were enrolled, including 76 receiving SMUS-Align and 60 receiving SIMS-Ajust. Baseline characteristics of the @entity1 in both groups were similar, without a statistically significant difference. Primary outcomes between both groups were similar, except that @entity1 treated with SIMS-Ajust had statistically significantly shorter operation time (p  =  0.003), less intent to treat (p  <  0.05), and earlier @entity86 (p  =  0.001) than @entity1 treated with SMUS-Align. Secondary outcomes were similar without a significant difference between the two groups (93% vs. 88% success rate in each group). CONCLUSION: Our results showed that SIMS-Ajust was not inferior to SMUS-Align with respect to success rate, and might have a slight advantage in early discharge. A long-term follow-up or prospective study is needed to confirm the above findings.
