title: A randomized controlled trial comparing three vaginal kits of single-incision mini-slings for stress urinary incontinence: surgical data.
abstract: OBJECTIVE
  Single-incision mini-slings (SIMS) are new minimally invasive devices used for female stress urinary incontinence (SUI). To date, several SIMS are available, but few and uncontrolled comparative data have assessed their safety and feasibility. The aim of the present clinical study was to compare three different SIMS in an ambulatory setting.
  
  
  METHODS
  One hundred and twenty patients with SUI were randomized to receive three SIMS: Ajust, MiniArc, and TVT Secur System. Surgical data were compared.
  
  
  RESULTS
  Significantly (P<0.05) lower surgical difficulty and higher patient satisfaction were detected in the MiniArc group when compared to the Ajust and TVT Secur System groups. A significantly (P<0.05) higher feasibility under local anesthesia and in ambulatory setting was also detected for the MiniArc group. The overall complication rate was significantly (P<0.05) lower in the MiniArc group than in the TVT Secur System group.
  
  
  CONCLUSIONS
  MiniArc is simpler to insert under local anesthesia and in an ambulatory setting. It is safer than the TVT Secur System, and is related to higher patient satisfaction.
authors.affiliation: Department of Obstetrics & Gynecology, University Magna Graecia of Catanzaro, Italy. stefanopalomba@tin.it
authors.forename: Stefano
authors.initials: S
authors.lastname: Palomba
authors.forename: Rosamaria
authors.initials: R
authors.lastname: Oppedisano
authors.forename: Marco
authors.initials: M
authors.lastname: Torella
authors.forename: Angela
authors.initials: A
authors.lastname: Falbo
authors.forename: Antonio
authors.initials: A
authors.lastname: Maiorana
authors.forename: Caterina
authors.initials: C
authors.lastname: Materazzo
authors.forename: Eduardo
authors.initials: E
authors.lastname: Tartaglia
authors.forename: Achille
authors.initials: A
authors.lastname: Tolino
authors.forename: Pasquale
authors.initials: P
authors.lastname: Mastrantonio
authors.forename: Luigi
authors.initials: L
authors.lastname: Alio
authors.forename: Nicola
authors.initials: N
authors.lastname: Colacurci
authors.forename: Fulvio
authors.initials: F
authors.lastname: Zullo
mesh_terms: D000368:Aged; D000556:Ambulatory Surgical Procedures; D000772:Anesthesia, Local; D004311:Double-Blind Method; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications; D053825:Suburethral Slings / Q000009:adverse effects*; D014550:Urinary Incontinence, Stress / Q000601:surgery*