Premium
A 2‐year observational study to determine the efficacy of a novel single incision sling procedure (Minitape TM ) for female stress urinary incontinence
Author(s) -
North CE,
Hilton P,
AliRoss NS,
Smith ARB
Publication year - 2010
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.2009.02449.x
Subject(s) - medicine , urinary incontinence , observational study , sedation , stress incontinence , surgery , sling (weapon) , cure rate , referral , adverse effect , family medicine
Please cite this paper as: North C, Hilton P, Ali‐Ross N, Smith A. A 2‐year observational study to determine the efficacy of a novel single incision sling procedure (Minitape™) for female stress urinary incontinence. BJOG 2010;117:356–360. Objective Assessment of the 2 year outcome of the Minitape™ procedure. Design A prospective observational study of women undergoing the Minitape™ procedure for urodynamic stress incontinence. Setting Two tertiary referral urogynaecology units in the north of England. Population Sixty women between November 2002 and March 2006. Methods Women attended a research clinic where they completed a standardised 1 hour pad test and were examined. Women were assessed preoperatively and postoperatively at 6 months, 1 year and 2 years. Main outcome measures Success was determined by a negative 1 hour pad test (gain of <1 g) and no desire for further treatment for stress urinary incontinence. Results All procedures were completed with local anaesthesia, with no additional sedation in 82% of cases. Intra‐operative and immediate postoperative complications were rare. Twelve women (20%) experienced mesh complications, half of which were considered to be serious adverse events requiring exit from the study. At 2 years following Minitape™ insertion, six women (10%) were defined as cured. Conclusions Although feasible to perform, this procedure is associated with a substantially lower cure rate than that published previously for other procedures. Cure rates decline over the 2 year follow‐up period, especially during the first 6 months.