Long-term outcomes of the Ajust Adjustable Single-Incision Sling for the treatment of stress urinary incontinence.
OBJECTIVE
The aim of this study was to evaluate the effectiveness and overall safety of the Ajust Adjustable Single-Incision Sling in the treatment of female stress urinary incontinence.


METHODS
This was a prospective, multicenter study conducted in women diagnosed with stress urinary incontinence. The Ajust Sling was implanted and patients were followed postoperatively for up to 29 months. Evaluations were performed to assess postoperative rate of continence, complications, and patient quality of life (QOL).


RESULTS
From November 2008 through May 2009, 52 patients were enrolled and underwent a procedure to implant the Ajust Sling. Overall, 86.3 % of the patients who successfully received the Ajust Sling demonstrated total restoration or improvement of continence at the last study visit. QOL scores related to global bladder feeling and lifestyle improved. Only one patient reported the occurrence of mild pain which resolved without treatment or sequelae.


CONCLUSIONS
In long-term follow-up, the Ajust Sling was safe and effective, restoring or improving continence in 86.3 % of patients.
Department of Obstetrics and Gynecology, University Medical Center, Johannes Gutenberg University Mainz, Langenbeckstrasse 1, 55131 Mainz, Germany. gnaumann@uni-mainz.de
Gert
G
Naumann
Thomas
T
Hagemeier
Stefan
S
Zachmann
Aktham
A
Al-Ani
Stefan
S
Albrich
Christine
C
Skala
Rosa
R
Laterza
Misti
M
Linaberry
Heinz
H
Koelbl
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D005858:Germany; D013509:Gynecologic Surgical Procedures; D006801:Humans; D008137:Longitudinal Studies; D008875:Middle Aged; D011446:Prospective Studies; D011788:Quality of Life; D012008:Recurrence; D053825:Suburethral Slings / Q000009:adverse effects; D013557:Switzerland; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000453:epidemiology / Q000601:surgery*