Articles
22 March 2021
Vol. 33 (2021)
https://doi.org/10.4081/uij.2021.249

A retrospective evaluation after insertion of the MicroGYNious single incision sling in cases of stress urinary incontinence

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MicroGYNious, single incision sling, stress urinary incontinence, minimal invasive
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Authors

Sabine Schütze
schuetze.bine@gmail.com
https://orcid.org/0000-0001-7605-1486
Department of Gynaecology and Obstetrics University Ulm, Ulm, Germany.
Ulf Göretzlehner
Frauenklinik, Alb-Donau Klinikum, Ehingen, Germany.
Elisabeth Mian
https://orcid.org/0000-0001-9546-0007
Department of Gynaecology and Obstetrics University Ulm, Ulm, Germany.
Fabienne Schochter
https://orcid.org/0000-0003-3675-6494
Department of Gynaecology and Obstetrics University Ulm, Ulm, Germany.
Wolfgang Janni
Department of Gynaecology and Obstetrics University Ulm, Ulm, Germany.
Miriam Deniz
https://orcid.org/0000-0002-7327-7735
Department of Gynaecology and Obstetrics University Ulm, Ulm, Germany.

In the literature the rate of stress incontinence is reported between 29-75%. Compared to the established tension free vaginal tapes, the question arises, whether stabilization of the urethra can also be achieved by minimally invasive single incision slings. The aim of this retrospective analysis is to evaluate the cure rate after insertion of MicroGYNious sling. The study was carried out on 115 patients, who received a MicroGYNious sling. It was used both as a single operation for stress urinary incontinence and as a combined procedure. The degree of incontinence preoperatively and continence rate postoperatively with follow-ups (6 weeks, 6 months, one year, two years and three years) were recorded. Due to a high number of lost to follow-up after one year, only the data up to one year postoperative were included in the analysis. Preoperatively, grade I incontinence was found in 6.1%, grade II 35.7%, grade III 58.3% of the operated women. The continence rate was 96.7% postoperatively, 90 % after 6 weeks, 87.2 % after 6 months, 86.7% after one year. In terms of continence rates, the MicroGYNious sling shows similar results compared to the established procedures. Therefore, this sling provides a good treatment option for the stress urinary incontinence. These good results must be confirmed in prospective randomized trials.

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A retrospective evaluation after insertion of the MicroGYNious single incision sling in cases of stress urinary incontinence. (2021). Urogynaecologia, 33. https://doi.org/10.4081/uij.2021.249

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