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

Chia Pei Chang; Wen Hsun Chang; Yen Mei Hsu; Yi Jen Chen; Kuo Chang Wen; Kuan Chong Chao; Ming Shyen Yen; Huann Cheng Horng; Peng Hui Wang; Chi Mu Chuang; Yen Hou Chang; Hua Hsi Wu; Hei Yu Lau; Jen Yu Tseng; Hsiao Wen Tsai; Nae Fong Twu; Hsiang Tai Chao

doi:10.1016/j.tjog.2015.10.007

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

Chia Pei Chang, Wen Hsun Chang, Yen Mei Hsu, Yi Jen Chen, Kuo Chang Wen, Kuan Chong Chao, Ming Shyen Yen, Huann Cheng Horng^*, Peng Hui Wang, Chi Mu Chuang, Yen Hou Chang, Hua Hsi Wu, Hei Yu Lau, Jen Yu Tseng, Hsiao Wen Tsai, Nae Fong Twu, Hsiang Tai Chao

^*Corresponding author for this work

Department of Obstetrics and Gynecology

Research output: Contribution to journal › Article › peer-review

13 Scopus citations

Abstract

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 urinary incontinence (SUI). Materials and Methods A retrospective cohort study was conducted between January 1, 2010 and August 31, 2012. Women with SUI who underwent either SMUS-Align or SIMS-Ajust were recruited. The primary outcomes included operation time, estimated operative blood loss, postoperative pain, 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 patient and a long-term complication, such as dyspareunia and mesh erosion after 6 months and 12 months of follow-up. Results A total of 136 patients were enrolled, including 76 receiving SMUS-Align and 60 receiving SIMS-Ajust. Baseline characteristics of the patients in both groups were similar, without a statistically significant difference. Primary outcomes between both groups were similar, except that women treated with SIMS-Ajust had statistically significantly shorter operation time (p = 0.003), less intent to treat (p < 0.05), and earlier postoperative discharge (p = 0.001) than women 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.

Original language	English
Pages (from-to)	726-730
Number of pages	5
Journal	Taiwanese Journal of Obstetrics and Gynecology
Volume	54
Issue number	6
DOIs	https://doi.org/10.1016/j.tjog.2015.10.007
State	Published - 1 Dec 2015

Keywords

single-incision mini-slings
standard transobturator midurethral slings
urinary incontinence

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10.1016/j.tjog.2015.10.007

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Chang, C. P., Chang, W. H., Hsu, Y. M., Chen, Y. J., Wen, K. C., Chao, K. C., Yen, M. S., Horng, H. C., Wang, P. H., Chuang, C. M., Chang, Y. H., Wu, H. H., Lau, H. Y., Tseng, J. Y., Tsai, H. W., Twu, N. F., & Chao, H. T. (2015). Comparison of single-incision mini-slings (Ajust) and standard transobturator midurethral slings (Align) in the management of female stress urinary incontinence: A 1-year follow-up. Taiwanese Journal of Obstetrics and Gynecology, 54(6), 726-730. https://doi.org/10.1016/j.tjog.2015.10.007

@article{1949690b769d4ff79f03bcb0fc6bea19,

title = "Comparison of single-incision mini-slings (Ajust) and standard transobturator midurethral slings (Align) in the management of female stress urinary incontinence: A 1-year follow-up",

abstract = "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 urinary incontinence (SUI). Materials and Methods A retrospective cohort study was conducted between January 1, 2010 and August 31, 2012. Women with SUI who underwent either SMUS-Align or SIMS-Ajust were recruited. The primary outcomes included operation time, estimated operative blood loss, postoperative pain, 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 patient and a long-term complication, such as dyspareunia and mesh erosion after 6 months and 12 months of follow-up. Results A total of 136 patients were enrolled, including 76 receiving SMUS-Align and 60 receiving SIMS-Ajust. Baseline characteristics of the patients in both groups were similar, without a statistically significant difference. Primary outcomes between both groups were similar, except that women treated with SIMS-Ajust had statistically significantly shorter operation time (p = 0.003), less intent to treat (p < 0.05), and earlier postoperative discharge (p = 0.001) than women 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.",

keywords = "single-incision mini-slings, standard transobturator midurethral slings, urinary incontinence",

author = "Chang, {Chia Pei} and Chang, {Wen Hsun} and Hsu, {Yen Mei} and Chen, {Yi Jen} and Wen, {Kuo Chang} and Chao, {Kuan Chong} and Yen, {Ming Shyen} and Horng, {Huann Cheng} and Wang, {Peng Hui} and Chuang, {Chi Mu} and Chang, {Yen Hou} and Wu, {Hua Hsi} and Lau, {Hei Yu} and Tseng, {Jen Yu} and Tsai, {Hsiao Wen} and Twu, {Nae Fong} and Chao, {Hsiang Tai}",

note = "Publisher Copyright: {\textcopyright} 2015",

year = "2015",

month = dec,

day = "1",

doi = "10.1016/j.tjog.2015.10.007",

language = "English",

volume = "54",

pages = "726--730",

journal = "Taiwanese Journal of Obstetrics and Gynecology",

issn = "1028-4559",

publisher = "Elsevier Ltd",

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}

Chang, CP, Chang, WH, Hsu, YM, Chen, YJ, Wen, KC, Chao, KC, Yen, MS, Horng, HC, Wang, PH, Chuang, CM, Chang, YH, Wu, HH, Lau, HY, Tseng, JY, Tsai, HW, Twu, NF & Chao, HT 2015, 'Comparison of single-incision mini-slings (Ajust) and standard transobturator midurethral slings (Align) in the management of female stress urinary incontinence: A 1-year follow-up', Taiwanese Journal of Obstetrics and Gynecology, vol. 54, no. 6, pp. 726-730. https://doi.org/10.1016/j.tjog.2015.10.007

Comparison of single-incision mini-slings (Ajust) and standard transobturator midurethral slings (Align) in the management of female stress urinary incontinence: A 1-year follow-up. / Chang, Chia Pei; Chang, Wen Hsun; Hsu, Yen Mei et al.
In: Taiwanese Journal of Obstetrics and Gynecology, Vol. 54, No. 6, 01.12.2015, p. 726-730.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Comparison of single-incision mini-slings (Ajust) and standard transobturator midurethral slings (Align) in the management of female stress urinary incontinence

T2 - A 1-year follow-up

AU - Chang, Chia Pei

AU - Chang, Wen Hsun

AU - Hsu, Yen Mei

AU - Chen, Yi Jen

AU - Wen, Kuo Chang

AU - Chao, Kuan Chong

AU - Yen, Ming Shyen

AU - Horng, Huann Cheng

AU - Wang, Peng Hui

AU - Chuang, Chi Mu

AU - Chang, Yen Hou

AU - Wu, Hua Hsi

AU - Lau, Hei Yu

AU - Tseng, Jen Yu

AU - Tsai, Hsiao Wen

AU - Twu, Nae Fong

AU - Chao, Hsiang Tai

PY - 2015/12/1

Y1 - 2015/12/1

N2 - 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 urinary incontinence (SUI). Materials and Methods A retrospective cohort study was conducted between January 1, 2010 and August 31, 2012. Women with SUI who underwent either SMUS-Align or SIMS-Ajust were recruited. The primary outcomes included operation time, estimated operative blood loss, postoperative pain, 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 patient and a long-term complication, such as dyspareunia and mesh erosion after 6 months and 12 months of follow-up. Results A total of 136 patients were enrolled, including 76 receiving SMUS-Align and 60 receiving SIMS-Ajust. Baseline characteristics of the patients in both groups were similar, without a statistically significant difference. Primary outcomes between both groups were similar, except that women treated with SIMS-Ajust had statistically significantly shorter operation time (p = 0.003), less intent to treat (p < 0.05), and earlier postoperative discharge (p = 0.001) than women 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.

AB - 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 urinary incontinence (SUI). Materials and Methods A retrospective cohort study was conducted between January 1, 2010 and August 31, 2012. Women with SUI who underwent either SMUS-Align or SIMS-Ajust were recruited. The primary outcomes included operation time, estimated operative blood loss, postoperative pain, 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 patient and a long-term complication, such as dyspareunia and mesh erosion after 6 months and 12 months of follow-up. Results A total of 136 patients were enrolled, including 76 receiving SMUS-Align and 60 receiving SIMS-Ajust. Baseline characteristics of the patients in both groups were similar, without a statistically significant difference. Primary outcomes between both groups were similar, except that women treated with SIMS-Ajust had statistically significantly shorter operation time (p = 0.003), less intent to treat (p < 0.05), and earlier postoperative discharge (p = 0.001) than women 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.

KW - single-incision mini-slings

KW - standard transobturator midurethral slings

KW - urinary incontinence

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U2 - 10.1016/j.tjog.2015.10.007

DO - 10.1016/j.tjog.2015.10.007

M3 - Article

C2 - 26700993

AN - SCOPUS:84969506947

SN - 1028-4559

VL - 54

SP - 726

EP - 730

JO - Taiwanese Journal of Obstetrics and Gynecology

JF - Taiwanese Journal of Obstetrics and Gynecology

IS - 6

ER -

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

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Keywords

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