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Objective: To report on the cost-effectiveness of adjustable anchored single-incision mini-slings (mini-slings) compared with tension-free standard mid-urethral slings (standard slings) in the surgical management of female stress urinary incontinence (SUI).
Patients And Methods: Data on resource use and quality were collected from women aged ≥18 years with predominant SUI undergoing mid-urethral sling procedures in 21 UK hospitals. Resource use and quality of life (QoL) data were prospectively collected alongside the Single-Incision Mini-Slings versus standard synthetic mid-urethral slings Randomised Control Trial (SIMS RCT), for surgical treatment of SUI in women.
Patient preferences for stress urinary incontinence treatments: a discrete choice experiment.
BMJ Open
August 2023
Aberdeen Centre for Women's Health Research, University of Aberdeen, Aberdeen, UK.
Objectives: To elicit and value patient preferences for the processes and outcomes of surgical management of stress urinary incontinence in women.
Design: A discrete choice experiment survey to elicit preferences for type of anaesthesia, postoperative recovery time, treatment success, adverse events, impact on daily activities and cost. An experimental design generated 40 choice tasks, and each respondent completed 1 block of 10 and 2 validity tests.
Single-incision needleless mini-sling technique for female stress urinary incontinence: A comparative study with standard transobturator inside-out technique.
Arch Ital Urol Androl
May 2023
Urology Department, Faculty of Medicine for Girls, Al-Azhar University, Cairo.
Unlabelled: To evaluate the safety and efficacy of surgeon-tailored polypropylene mesh (STM) through a needle-less single incision mini-slings (SIMS) vs. standard trans-obturator tape (TOT) in the treatment of female stress urinary incontinence (SUI).
Methods: We conducted an open-label randomized controlled trial that included women with SUI.
Stress urine incontinence (SUI) is most common in middle-aged women and the second most common in those over 75. SUI causes significant discomfort and suffering for patients and has a considerable financial impact on the healthcare system. Conservative approaches are recommended as the first step in treatment.
View Article and Find Full Text PDFAdjustable slings versus other surgical methods in female stress urinary incontinence: a systematic review and meta-analysis.
Int Urogynecol J
July 2023
Urology Department of Moscow State University of Medicine and Dentistry, Vuchetich 21 str. Moscow, Russian Federation, Moscow, 127206, Russian Federation.
Introduction And Hypothesis: The objective of this study was to evaluate the efficacy and safety of different adjustable slings compared to other surgical methods for the treatment of stress urinary incontinence (SUI) among women.
Methods: The inclusion criteria were as follows: randomized controlled trials (RCTs) and non-RCTs assessing adult women with SUI. The exclusion criteria were as follows: other types of urinary incontinence, studies that combined conservative interventions and pharmacological treatment, pregnant and lactating patients.
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