Categorized | Bladder Treatment

Single-Incision Mini-Slings (SIMS) Don’t Perform Well in Stress Urinary Incontinence

Results from the review of Dr. Mohamed Abdel-Fattah of the University of Aberdeen and his colleagues on single-incision mini-slings (SIMS) compared to standard midurethral slings (SMUS) in their short and medium term efficacy shows SIMS don’t perform as well in women with stress urinary incontinence.

The researchers conducted a literature search and a meta-analysis of data from nine randomized trials involving 758 women followed for an average of 9.5 months.

Although SIMS were associated with significantly shorter operative time, lower day 1 pain scores and less postoperative groin pain, there was no significant difference in the quality of life scores between the groups.  But at 6 to 12 months, the patient reported cure rate (risk ratio, 0.83) was significantly lower with SIMS vs SMUS as was the objective cure rate (risk ratio, 0.85).

The SIMS group also had a significantly more repeat continence surgery (risk ratio, 6.72) and de novo urgency incontinence (risk ratio, 2.08).

Dr. Abdel-Fattah said “The results from this review will have a significant impact on surgical practice of urologists and urogynecologists.  We We have shown that the evidence from the current medical literature does not support the use of SIMS in surgical treatment of women with stress urinary incontinence especially that the standards have been set high with the standard mid-urethral slings,”

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