- 作者：Alyaa Mostafa ; Wael Agur ; Mohamed Abdel-All ; Karen Guerrero ; Chu Lim ; Mohamed Allam ; Mohamed Yousef ; James N'Dow ; Mohamed Abdel-Fattah
- 刊名：Urology
- 出版年：2013
- 出版时间：September, 2013
- 年：2013
- 卷：82
- 期：3
- 页码：552-559
- 全文大小：302 K
Objective
To compare an adjustable anchored single incision mini-sling (SIMS-Ajust) vs tension-free vaginal tape-obturator (TVT-O) in the management of female stress urinary incontinence (SUI) with a minimum of 1-year follow-up.Methods
We conducted a multicenter prospective randomized control trial (RCT) performed in 6 United Kingdom centers in the period between October 2009 and October 2011. Women were randomized to either SIMS-Ajust (C. R. Bard) performed under local anesthesia or TVT-O (Ethicon Inc.) performed under general anesthesia. Women completed validated symptom-severity and quality of life (QOL) questionnaires preoperatively and at 1 year. In addition, women completed the Patient Global Impression of Improvement (PGI-I) and underwent the Cough Stress Test (CST) at 1 year. The primary outcome at 12 months was the patient-reported success rate. Secondary outcomes included objective cure, reoperation rate, impact on women's urinary symptoms, QOL, and sexual function. Data was analyzed using SPSS-19 with significance level set at 5 % .
Results
One hundred thirty-seven women were randomized into 2 groups: the SIMS-Ajust group (n?=?69) and the TVT-O group (n?= 68). At 1 year, there were no significant differences in the patient-reported success rate (odds ratio [OR] 0.895, 95 % confidence interval [CI] 0.344-2.330, P?= 1.000), objectives success rate (OR 0.929, 95 % CI 0.382-2.258, P?= 1.00), and reoperation rates (OR 0.591, 95 % CI 0.136-2.576, P?= .721) between the SIMS-Ajust and the TVT-O groups, respectively. A comparable number of women reported cure/improvement of urgency (P?= .658), significant improvement in QOL (P?= .190), and sexual function (P?= .699) in both groups.
Conclusion
Adjustable-anchored SIMS (Ajust) is associated with comparable patient-reported and objective success rates when compared to standard midurethral sling (SMUS, TVT-O) at a minimum of 1-year follow-up. The results should be interpreted with caution due to the relatively small cohort size. Long-term follow-up of this RCT is required to ascertain the durability of these results.