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1336 LONG TERM FOLLOW-UP DATA ON THE MINIARC™ SINGLE INCISION SLING SYSTEM FOR THE TREATMENT OF STRESS URINARY INCONTINENCE

2011; Lippincott Williams & Wilkins; Volume: 185; Issue: 4S Linguagem: Inglês

10.1016/j.juro.2011.02.1157

1527-3792

R.C. Pickens, Brent Hardin, John Beddies, Wesley M. White, W. Bedford Waters, Frederick A. Klein,

Pelvic floor disorders treatments

You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Incontinence—Evaluation & Therapy1 Apr 20111336 LONG TERM FOLLOW-UP DATA ON THE MINIARC™ SINGLE INCISION SLING SYSTEM FOR THE TREATMENT OF STRESS URINARY INCONTINENCE Ryan Pickens, Brent Hardin, John Beddies, Wesley White, W. Bedford Waters, and Frederick Klein Ryan PickensRyan Pickens Knoxville, TN , Brent HardinBrent Hardin Knoxville, TN , John BeddiesJohn Beddies Knoxville, TN , Wesley WhiteWesley White Knoxville, TN , W. Bedford WatersW. Bedford Waters Knoxville, TN , and Frederick KleinFrederick Klein Knoxville, TN View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.1157AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES There is a paucity of long-term outcomes data on single incision slings for the treatment of stress urinary incontinence (SUI). We present surgical and quality of life outcomes at two years in an observational cohort of patients undergoing surgery for SUI with the MiniArc™ Single Incision Sling System. METHODS A prospective analysis of patients who underwent surgical intervention with the MiniArc™ Single Incision Sling System for SUI was performed. Patients completed a quality of life questionnaire, a female sexual function index (FSFI), an IIQ-7 form, and an UDI-6 form. We compared IIQ-7 and UDI-6 scores at one month to those at two years post-op. Quality of life questionnaires were used to determine treatment failures. The FSFI was used to determine how the procedure affected their sexual activity. Statistical analysis was performed. RESULTS From September 2007 to August 2008, a total of 120 patients underwent placement of the MiniArc™ Single Incision Sling System for SUI at our institution . One hundred five patients (88%) completed two year follow-up. Mean patient age at surgery was 58.4 years (range 26-87). Forty-two (35%) patients had concomitant urge incontinence pre-operatively. Mean body mass index (BMI) was 27.2. Preoperative pad usage was 2.40 pads per day per patient. Mean IIQ-7 and UDI-6 scores pre-op were 2.6 and 2.5 per question, respectively. At a minimum follow-up of 24 months, 98 of the 105 responders (93%) denied having any symptoms of SUI, 5 reported occasional leakage (5%) and 2 reported full return of symptoms of SUI (2%). The average pads per day per patient post-op was 0.2 (p<0.005). At two years post-op, mean IIQ-7 and UDI-6 scores were 0.3 (p<0.005) and 0.3 (p<0.005) per question, respectively. Twenty (19%) patients reported urge incontinence on a daily basis, five of whom have de novo urgency (5%). Average quality of life scores improved from 4.2 pre-operatively to 9.1 at two years. Based on FSFI results, 53 of our patients never have discomfort with intercourse (50%), 4 sometimes have discomfort (4%), and 2 always have discomfort (2%). Forty-six of our patients are currently sexually inactive (44%). CONCLUSIONS Based on our experience, successful treatment of SUI with the MiniArc™ Single Incision Sling System is durable with long term follow-up. Quality of life is significantly improved with minimal impact on sexual function. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e534 Peer Review Report Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ryan Pickens Knoxville, TN More articles by this author Brent Hardin Knoxville, TN More articles by this author John Beddies Knoxville, TN More articles by this author Wesley White Knoxville, TN More articles by this author W. Bedford Waters Knoxville, TN More articles by this author Frederick Klein Knoxville, TN More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...