Maurizio Leone1, J. Antolini2, S. Ferrero3, P. Sala1, G. D’Alessandro3, D. Beleva3, G. Melloni2, G. Fasolis2, C. Gustavino1
1 U.O. Ostetricia e Ginecologia, Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132 Genova (Italia)
2 S.O.C. Urologia Ospedale San Lazzaro, Via Pierino Belli n. 26, ASL CN2 Alba-Bra, Cuneo (Italia).
3 Clinica Ostetrica Ginecologica, Ospedale Policlinico San Martino, DINOGMI, Università degli studi di Genova, Largo Rosanna Benzi 10, 16132, Genova (Italia)
AIM.To report two years follow-up of single incision slings for the treatment of stress urinary incontinence(SUI). The main outcomes are to evaluate the efficacy of the device and to assess safety, adverse events, quality of life, demographic features of treated women and prognostic factors for SUI.
METHODS.This was a retrospective, double-center, single-arm study. A telephone interview was performed 2 years after placement. Complication rate, subjective efficacy and degree of satisfaction were investigated.
RESULTS.54 patients were treated between March 2015 and March 2017;47 answered the survey. 43 out of 47 procedures(91.5%; 95%C.I.,80.0%-96.7%) were effective. There were one case of extrusion of mesh, one case of urgency incontinence occurring immediately after the procedure, one case of SUI diagnosed at 1-year follow-up and one case of urgency incontinence diagnosed at 2-year follow-up. The other short term complications were solved few days after placement. 41 patients reported subjective satisfaction, 4 reported no change in quality of life and 2 patients had worsening of symptoms. Out of 33 sexually active patients, 18 patients had no change, 13 had an improvement and 3 had a worsening.
CONCLUSIONS.The procedure is safe and effective for the treatment of SUI but more data are needed to confirm our results.