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Open Access 01-05-2012 | Original Article

The MiniArc sling for female stress urinary incontinence: clinical results after 1-year follow-up

Authors: C. R. C. Hogewoning, I. M. C. Ruhe, M. D. Bekker, C. J. A. Hogewoning, H. Putter, M. C. DeRuiter, R. C. M. Pelger, H. W. Elzevier

Published in: International Urogynecology Journal | Issue 5/2012

Abstract

Introduction and hypothesis

The objective of this study was the assessment of the efficiency of the MiniArc for curing stress urinary incontinence.

Methods

Seventy-seven patients, operated on from March 2008 to November 2009, were evaluated in this study. One-year post-operative data are presented. All patients suffered from predominant stress urinary incontinence. After 1 year, response was 74%. Evaluation was performed using a questionnaire consisting of the EuroQol-5 Dimensions, the Patient Global Impression of Improvement, the Incontinence Impact Questionnaire, the Urinary Distress Inventory, the Prolapse/Urinary Incontinence Sexual Questionnaire, short form, and the Defecation Distress Inventory.

Results

One year after surgery, 68% of the patients stated an improvement in their incontinence status, while only 44% stated to be completely dry.

Conclusion

The 1-year follow-up suggests that the MiniArc is less effective in the treatment of stress urinary incontinence than the TVT.

Chiarelli P, Brown W, McElduff P (1999) Leaking urine: prevalence and associated factors in Australian women. Neurourol Urodyn 18(6):567–577PubMedCrossRef

Moller LA, Lose G, Jorgensen T (2000) The prevalence and bothersomeness of lower urinary tract symptoms in women 40–60 years of age. Acta Obstet Gynecol Scand 79(4):298–305PubMedCrossRef

Simeonova Z, Milsom I, Kullendorff AM, Molander U, Bengtsson C (1999) The prevalence of urinary incontinence and its influence on the quality of life in women from an urban Swedish population. Acta Obstet Gynecol Scand 78(6):546–551PubMedCrossRef

Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, Van KP, Victor A, Wein A (2002) The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Am J Obstet Gynecol 187(1):116–126PubMedCrossRef

Grimby A, Milsom I, Molander U, Wiklund I, Ekelund P (1993) The influence of urinary incontinence on the quality of life of elderly women. Age Ageing 22(2):82–89PubMedCrossRef

Hunskaar S, Vinsnes A (1991) The quality of life in women with urinary incontinence as measured by the sickness impact profile. J Am Geriatr Soc 39(4):378–382PubMed

Shumaker SA, Wyman JF, Uebersax JS, McClish D, Fantl JA (1994) Health-related quality of life measures for women with urinary incontinence: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Continence Program in Women (CPW) Research Group. Qual Life Res 3(5):291–306PubMedCrossRef

van der Vaart CH, de Leeuw JR, Roovers JP, Heintz AP (2002) The effect of urinary incontinence and overactive bladder symptoms on quality of life in young women. BJU Int 90(6):544–549PubMedCrossRef

van der Vaart CH, de Leeuw JR, Roovers JP, Heintz AP (2003) Measuring health-related quality of life in women with urogenital dysfunction: the urogenital distress inventory and incontinence impact questionnaire revisited. Neurourol Urodyn 22(2):97–104PubMedCrossRef

10.

Latthe PM, Foon R, Toozs-Hobson P (2007) Transobturator and retropubic tape procedures in stress urinary incontinence: a systematic review and meta-analysis of effectiveness and complications. BJOG 114(5):522–531PubMedCrossRef

11.

De RD, Berkers J, Deprest J, Verguts J, Ost D, Hamid D, Van der Aa F (2010) Single incision mini-sling versus a transobutaror sling: a comparative study on MiniArc and Monarc slings. Int Urogynecol J Pelvic Floor Dysfunct 21(7):773–778CrossRef

12.

Debodinance P, Delporte P (2009) MiniArc: preliminary prospective study on 72 cases. J Gynecol Obstet Biol Reprod (Paris) 38(2):144–148CrossRef

13.

Gauruder-Burmester A, Popken G (2009) The MiniArc sling system in the treatment of female stress urinary incontinence. Int Braz J Urol 35(3):334–341PubMedCrossRef

14.

Jimenez CJ, Hualde AA, Cebrian Lostal JL, Alvarez BS, Jimenez PJ, Montesino SM, Raigoso OO, Lozano UF, Pinos PM, Gonzalez de Garibay AS (2010) Stress urinary incontinence surgery with MiniArc swing system: our experience. Actas Urol Esp 34(4):372–377

15.

Kennelly MJ, Moore R, Nguyen JN, Lukban JC, Siegel S (2010) Prospective evaluation of a single incision sling for stress urinary incontinence. J Urol 184(2):604–609PubMedCrossRef

16.

Moore RD, Mitchell GK, Miklos JR (2009) Single-center retrospective study of the technique, safety, and 12-month efficacy of the miniarc single-incision sling: a new minimally invasive procedure for treatment of female SUI. Surg Technol Int 18:175–181PubMed

17.

Sottner O, Halaska M, Maxova K, Vlacil J, Kolarik D, Chaloupecky J, Hurt K, Zahumensky J, Zmrhalova B, Vojtech J (2010) New Single-Incision Sling System MiniArc in treatment of the female stress urinary incontinence. Ceska Gynekol 75(2):101–104PubMed

18.

Pickens RB, Klein FA, Mobley JD III, White WM (2010) Single Incision Mid-urethral Sling for Treatment of Female Stress Urinary Incontinence. Urol 77:321–324PubMedCrossRef

19.

(No authors listed) (1990) EuroQol—a new facility for the measurement of health-related quality of life. The EuroQol Group. Health Policy 16(3):199–208

20.

Roovers JP, van der Bom JG, Huub VDV, Fousert DM, Heintz AP (2001) Does mode of hysterectomy influence micturition and defecation? Acta Obstet Gynecol Scand 80(10):945–951PubMedCrossRef

21.

Rogers RG, Coates KW, Kammerer-Doak D, Khalsa S, Qualls C (2003) A short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Int Urogynecol J Pelvic Floor Dysfunct 14(3):164–168PubMedCrossRef

22.

Yalcin I, Bump RC (2003) Validation of two global impression questionnaires for incontinence. Am J Obstet Gynecol 189(1):98–101PubMedCrossRef

23.

Castillo PA, Espaillat-Rijo LM, Davila GW (2010) Outcome measures and definition of cure in female stress urinary incontinence surgery: a survey of recent publications. Int Urogynecol J Pelvic Floor Dysfunct 21(3):343–348CrossRef

24.

Ghoniem G, Stanford E, Kenton K, Achtari C, Goldberg R, Mascarenhas T, Parekh M, Tamussino K, Tosson S, Lose G, Petri E (2008) Evaluation and outcome measures in the treatment of female urinary stress incontinence: International Urogynecological Association (IUGA) guidelines for research and clinical practice. Int Urogynecol J Pelvic Floor Dysfunct 19(1):5–33PubMed

25.

Deffieux X, Donnadieu AC, Porcher R, Gervaise A, Frydman R, Fernandez H (2007) Long-term results of tension-free vaginal tape for female urinary incontinence: follow up over 6 years. Int J Urol 14(6):521–526PubMedCrossRef

26.

Holmgren C, Nilsson S, Lanner L, Hellberg D (2005) Long-term results with tension-free vaginal tape on mixed and stress urinary incontinence. Obstet Gynecol 106(1):38–43PubMedCrossRef

27.

Zugor V, Labanaris AP, Rezaei-Jafari MR, Hammerer P, Dembowski J, Witt J, Wucherpfennig W (2010) TVT vs. TOT: a comparison in terms of continence results, complications and quality of life after a median follow-up of 48 months. Int Urol Nephrol 42:915–920PubMedCrossRef

28.

Deval B, Ferchaux J, Berry R, Gambino S, Ciofu C, Rafii A, Haab F (2006) Objective and subjective cure rates after trans-obturator tape (OBTAPE) treatment of female urinary incontinence. Eur Urol 49(2):373–377PubMedCrossRef

29.

Giberti C, Gallo F, Cortese P, Schenone M (2007) Transobturator tape for treatment of female stress urinary incontinence: objective and subjective results after a mean follow-up of two years. Urology 69(4):703–707PubMedCrossRef

Title: The MiniArc sling for female stress urinary incontinence: clinical results after 1-year follow-up
Authors: C. R. C. Hogewoning
I. M. C. Ruhe
M. D. Bekker
C. J. A. Hogewoning
H. Putter
M. C. DeRuiter
R. C. M. Pelger
H. W. Elzevier
Publication date: 01-05-2012
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 5/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-011-1605-y

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

The MiniArc sling for female stress urinary incontinence: clinical results after 1-year follow-up

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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