In a nutshell
This study aimed to investigate the effectiveness of two surgical treatments for urinary incontinence (UI), the adjustable single-incision sling (Ajust) vs standard mid-urethral slings (SMUS). This study found that both these surgical methods were very effective for treating SUI in women.
Some background
Urinary incontinence is the unintentional loss of urine. Stress urinary incontinence (SUI) happens when physical movement or activity — such as coughing, sneezing, running or heavy lifting — puts pressure (stress) on the bladder. This can be more common in menopausal women or in women who have given birth.
Surgical treatments can include the Ajust or the SMUS. The SMUS provides support for the urethra (where urine passes through from the bladder) and lowers the chance of SUI occurring again. Ajust is inserted in a single incision (cut). However, the best surgical treatment for SUI in women is still unknown.
Methods & findings
This study included 205 women. They were followed up for 3 years. 107 had the Ajust and 98 had SMUS. These patients filled out questionnaires about their SUI and their quality of life. They also filled out bladder diaries.
There were no significant differences between the two surgical methods regarding the cure rate. There were 50.9% women in the Ajust group and 51.5% in the SMUS group that reported no UI after 3 years. Postoperative improvement was the same at 1 and 3 years after treatment.
The bottom line
This study found that there was no significant difference between Ajust and SMUS for women with UI.
Published By :
International urogynecology journal
Date :
Jun 20, 2019
