A prospective study of a single-incision sling at the time of robotic sacrocolpopexy

Carolyn Botros, Christa Lewis, Patrick Culligan, Charbel Salamon

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Introduction and hypothesis: The objective of this study was to evaluate the efficacy and safety of the Miniarc Precise® single-incision sling (American Medical Systems, Minnetonka, MN, USA) placed at the time of a robotic sacrocolpopexy.

Methods: This was a prospective study of a single-incision suburethral sling placed at the time of robotic sacrocolpopexy in women with stress urinary incontinence (SUI) and pelvic organ prolapse. Primary outcome measure was cure at 1 year, defined objectively by a negative cough stress test (CST) and subjectively by a score of “0 or 1” on question 17 of the Pelvic Floor Distress Inventory (PFDI-20): “Do you experience urine leakage related to coughing/sneezing/laughing?” Secondary outcome measures included the change in Urinary Distress Inventory (UDI-6) and Urinary Impact Questionnaire (UIQ-7) scores at 1 year. All sling-related complications were reported. Paired Student’s t test and the Wilcoxon signed-rank test were used for statistical analysis.

Results: One hundred and one patients were included between August 2010 and July 2012. One-year follow-up was available for 97 out of 101 patients (96 %). Objective cure was 90 % and subjective cure was 87 %. Baseline UDI-6 scores improved from 34.8 ± 25.1 to 6.7 ± 11.2 at 1 year (p < 0.001). Similarly, UIQ-7 scores improved from 21.1 ± 22.8 to 2.4 ± 8.2 at 1 year (p < 0.001). There were no intraoperative cystotomies, no mesh erosions, no sling revisions, and no cases of urinary retention. The retreatment rate for persistent SUI was 8 % (8 out of 97).

Conclusions: The addition of a single-incision suburethral sling at the time of robotic sacrocolpopexy in women with SUI resulted in an 87 % cure rate at 1 year.

Original languageEnglish (US)
Pages (from-to)1541-1546
Number of pages6
JournalInternational Urogynecology Journal
Volume25
Issue number11
DOIs
StatePublished - Oct 9 2014
Externally publishedYes

Fingerprint

Stress Urinary Incontinence
Robotics
Suburethral Slings
Prospective Studies
Cystotomy
Outcome Assessment (Health Care)
Sneezing
Pelvic Organ Prolapse
Equipment and Supplies
Pelvic Floor
Retreatment
Urinary Retention
Nonparametric Statistics
Exercise Test
Cough
Urine
Students
Safety

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology
  • Urology

Cite this

Botros, Carolyn ; Lewis, Christa ; Culligan, Patrick ; Salamon, Charbel. / A prospective study of a single-incision sling at the time of robotic sacrocolpopexy. In: International Urogynecology Journal. 2014 ; Vol. 25, No. 11. pp. 1541-1546.
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A prospective study of a single-incision sling at the time of robotic sacrocolpopexy. / Botros, Carolyn; Lewis, Christa; Culligan, Patrick; Salamon, Charbel.

In: International Urogynecology Journal, Vol. 25, No. 11, 09.10.2014, p. 1541-1546.

Research output: Contribution to journalArticle

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