title: MiniArc single-incision sling in the office setting.
abstract: OBJECTIVE
  To report MiniArc single-incision sling efficacy results in the office setting and the feasibility of performing the procedure in the office.
  
  
  METHODS
  Prospective, single-arm, nonrandomized, institutional review board-approved study (Canadian Task Force classification II-2).
  
  
  METHODS
  Three in-office clinical sites in the United States.
  
  
  METHODS
  Thirty-eight patients who underwent treatment of stress urinary incontinence using the MiniArc single-incision sling.
  
  
  METHODS
  A MiniArc single-incision sling was placed in 38 patients in an office-based setting under intravenous or oral sedation and/or local anesthesia.
  
  
  RESULTS
  Thirty-eight implant recipients were evaluated for effectiveness and safety via qualitative (Urinary Distress Inventory-Short Form [UDI-6] and Incontinence Impact Questionnaire-Short Form [IIQ-7]) and quantitative (1-hour pad-weight test and cough stress test) measurements at 3 clinical sites. Secondary outcome measures included procedure time, estimated blood loss, length of stay, perioperative complications, Wong-Baker Faces Pain Scale, and adverse events. During the study, 38 women (mean [SD; 95% CI] age, 48.1 (8.4; 45.3-50.8 years)) received slings. Mean procedure time was 10.6 minutes, estimated blood loss was 23.2 mL, and length of stay was 1.3 hours. At discharge, the Wong-Baker pain score was 0.2 (0.0-2.0). At 2 years, 31 patients were available for follow-up. Of these, 93.5% had normal findings on the cough stress test, and 90.3% had pad weight <1 g; and 90.6% and 87.5%, respectively, using last failure carried forward analysis in 32 patients. The UDI-6 and IIQ-7 median scores showed a statistically significant decrease from baseline (p < .001). There were no reports of serious adverse events or of bowel, urethral, bladder, or major vessel perforation.
  
  
  CONCLUSIONS
  The in-office experience suggests that implantation of a single-incision sling for treatment of stress urinary incontinence with the patient under intravenous or oral sedation and/or local anesthesia can be performed safely, with effective results. Thus, performing this procedure in an office setting is a viable option.
authors.affiliation: Minnesota Gynecology and Surgery, Edina, MN 55435, USA. j.presthus@mngyn.com
authors.forename: James B
authors.initials: JB
authors.lastname: Presthus
authors.forename: Douglas
authors.initials: D
authors.lastname: Van Drie
authors.forename: Christopher
authors.initials: C
authors.lastname: Graham
mesh_terms: D000328:Adult; D000556:Ambulatory Surgical Procedures; D005260:Female; D006801:Humans; D007902:Length of Stay; D008875:Middle Aged; D011446:Prospective Studies; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*