A minimum of 1-year follow-up for MiniArc single incision slings compared to Monarc transobturator slings: An analysis to evaluate durability of continence and medium-term outcomes

Manuela Tutolo, Dirk J M K De Ridder, Francesco Montorsi, Giulia Castagna, Jan Deprest, Renè P. Schellart, Enrico Ammirati, Frank Van Der Aa

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Aims: To compare efficacy and safety of two commercially available single incision slings (SIS) and trans-obturator vaginal tapes (TOT), namely MiniArc™ and Monarc™ slings, and report the results at 5-year follow-up. Methods: A retrospective-observational study of prospectively collected data was conducted on 381 women with primary stress urinary incontinence (SUI) in a single tertiary referral center. Patients treated with MiniArc™ and Monarc™ were compared. Data regarding intraoperative and post-operative outcomes were collected and compared. Kaplan-Meier analyses assessed continence rate (CR), objective cure (OC) rate, de novo overactive bladder symptoms (OAB), surgical failure (SF), and erosion free rates at 1-, 3-, and 5-year follow-up. The log-rank test was used to compare efficacy and complication between patients stratified according to the type of surgery. Results: Median follow-up was 60 months. Of 381 patients, 215 (56%) were treated with Monarc™ slings and 166 (44%) with MiniArc™. The two groups were homogeneous in terms of pre-operative characteristics. At 5-year follow-up, no difference was found in CR between Monarc™ and Miniarc™ patients (87% vs. 89%; P=0.41). Monarc™ showed better OAB free rates (97% vs. 92%; P=0.012). No significant differences have been found in terms of SF, erosion, and OC rates. These results are limited by their retrospective nature. Conclusions: We demonstrated that the short-term results of MiniArc™, are maintained over time, defining the comparability of the two slings at 5 years in terms of subjective and objective outcomes and complications.

Original languageEnglish
JournalNeurourology and Urodynamics
DOIs
Publication statusAccepted/In press - 2016

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Overactive Urinary Bladder
Suburethral Slings
Stress Urinary Incontinence
Kaplan-Meier Estimate
Tertiary Care Centers
Observational Studies
Retrospective Studies
Safety

Keywords

  • Female urogenital disease
  • Long-term effects
  • Minimally invasive surgery
  • Urinary stress incontinence

ASJC Scopus subject areas

  • Clinical Neurology
  • Urology

Cite this

A minimum of 1-year follow-up for MiniArc single incision slings compared to Monarc transobturator slings : An analysis to evaluate durability of continence and medium-term outcomes. / Tutolo, Manuela; De Ridder, Dirk J M K; Montorsi, Francesco; Castagna, Giulia; Deprest, Jan; Schellart, Renè P.; Ammirati, Enrico; Van Der Aa, Frank.

In: Neurourology and Urodynamics, 2016.

Research output: Contribution to journalArticle

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title = "A minimum of 1-year follow-up for MiniArc single incision slings compared to Monarc transobturator slings: An analysis to evaluate durability of continence and medium-term outcomes",
abstract = "Aims: To compare efficacy and safety of two commercially available single incision slings (SIS) and trans-obturator vaginal tapes (TOT), namely MiniArc™ and Monarc™ slings, and report the results at 5-year follow-up. Methods: A retrospective-observational study of prospectively collected data was conducted on 381 women with primary stress urinary incontinence (SUI) in a single tertiary referral center. Patients treated with MiniArc™ and Monarc™ were compared. Data regarding intraoperative and post-operative outcomes were collected and compared. Kaplan-Meier analyses assessed continence rate (CR), objective cure (OC) rate, de novo overactive bladder symptoms (OAB), surgical failure (SF), and erosion free rates at 1-, 3-, and 5-year follow-up. The log-rank test was used to compare efficacy and complication between patients stratified according to the type of surgery. Results: Median follow-up was 60 months. Of 381 patients, 215 (56{\%}) were treated with Monarc™ slings and 166 (44{\%}) with MiniArc™. The two groups were homogeneous in terms of pre-operative characteristics. At 5-year follow-up, no difference was found in CR between Monarc™ and Miniarc™ patients (87{\%} vs. 89{\%}; P=0.41). Monarc™ showed better OAB free rates (97{\%} vs. 92{\%}; P=0.012). No significant differences have been found in terms of SF, erosion, and OC rates. These results are limited by their retrospective nature. Conclusions: We demonstrated that the short-term results of MiniArc™, are maintained over time, defining the comparability of the two slings at 5 years in terms of subjective and objective outcomes and complications.",
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T2 - An analysis to evaluate durability of continence and medium-term outcomes

AU - Tutolo, Manuela

AU - De Ridder, Dirk J M K

AU - Montorsi, Francesco

AU - Castagna, Giulia

AU - Deprest, Jan

AU - Schellart, Renè P.

AU - Ammirati, Enrico

AU - Van Der Aa, Frank

PY - 2016

Y1 - 2016

N2 - Aims: To compare efficacy and safety of two commercially available single incision slings (SIS) and trans-obturator vaginal tapes (TOT), namely MiniArc™ and Monarc™ slings, and report the results at 5-year follow-up. Methods: A retrospective-observational study of prospectively collected data was conducted on 381 women with primary stress urinary incontinence (SUI) in a single tertiary referral center. Patients treated with MiniArc™ and Monarc™ were compared. Data regarding intraoperative and post-operative outcomes were collected and compared. Kaplan-Meier analyses assessed continence rate (CR), objective cure (OC) rate, de novo overactive bladder symptoms (OAB), surgical failure (SF), and erosion free rates at 1-, 3-, and 5-year follow-up. The log-rank test was used to compare efficacy and complication between patients stratified according to the type of surgery. Results: Median follow-up was 60 months. Of 381 patients, 215 (56%) were treated with Monarc™ slings and 166 (44%) with MiniArc™. The two groups were homogeneous in terms of pre-operative characteristics. At 5-year follow-up, no difference was found in CR between Monarc™ and Miniarc™ patients (87% vs. 89%; P=0.41). Monarc™ showed better OAB free rates (97% vs. 92%; P=0.012). No significant differences have been found in terms of SF, erosion, and OC rates. These results are limited by their retrospective nature. Conclusions: We demonstrated that the short-term results of MiniArc™, are maintained over time, defining the comparability of the two slings at 5 years in terms of subjective and objective outcomes and complications.

AB - Aims: To compare efficacy and safety of two commercially available single incision slings (SIS) and trans-obturator vaginal tapes (TOT), namely MiniArc™ and Monarc™ slings, and report the results at 5-year follow-up. Methods: A retrospective-observational study of prospectively collected data was conducted on 381 women with primary stress urinary incontinence (SUI) in a single tertiary referral center. Patients treated with MiniArc™ and Monarc™ were compared. Data regarding intraoperative and post-operative outcomes were collected and compared. Kaplan-Meier analyses assessed continence rate (CR), objective cure (OC) rate, de novo overactive bladder symptoms (OAB), surgical failure (SF), and erosion free rates at 1-, 3-, and 5-year follow-up. The log-rank test was used to compare efficacy and complication between patients stratified according to the type of surgery. Results: Median follow-up was 60 months. Of 381 patients, 215 (56%) were treated with Monarc™ slings and 166 (44%) with MiniArc™. The two groups were homogeneous in terms of pre-operative characteristics. At 5-year follow-up, no difference was found in CR between Monarc™ and Miniarc™ patients (87% vs. 89%; P=0.41). Monarc™ showed better OAB free rates (97% vs. 92%; P=0.012). No significant differences have been found in terms of SF, erosion, and OC rates. These results are limited by their retrospective nature. Conclusions: We demonstrated that the short-term results of MiniArc™, are maintained over time, defining the comparability of the two slings at 5 years in terms of subjective and objective outcomes and complications.

KW - Female urogenital disease

KW - Long-term effects

KW - Minimally invasive surgery

KW - Urinary stress incontinence

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