Single Incision Mid-Urethral Mini-Slings versus Standard Trans-Obturator Slings in Management of Females with Stress Urinary Incontinence

Abstract

tress urinary incontinence is a major global health problem. The understanding of stress urinary incontinence (SUI) pathophysiology has consistently improved over the past decade, resulting in the development of many surgical techniques. Midurethral sling (MUS) surgery for stress urinary incontinence has become one of the most popular interventions in the field of functional urology Despite a high success rate, MUS implantation has some drawbacks (postoperative pain, organ injury) that led to conception of innovative techniques to avoid blind passage in the retropubic space or the obturator foramen. These so-called third-generation slings or mini-slings have been introduced since 2006, and their use is becoming more and more popular among urologists and urogynecologists worldwide. In this study 40 female patients underwent surgical treatment of SUI either by TOT (outside-in) technique or by SIMS and we had success rate 85% for the TOT group compared to 70% success rate in the SIMS group. Post operative pain is the main advantage of SIMS over the TOT. In short period follow up, preoperative and postoperative urodynamic study indicated that no affection on storage and voiding function of bladder with mild degree of de novo voiding dysfunction which did not persist more than three months after operation. No cases reported with complications.