title: What is the best indication for single-incision Ophira Mini Sling? Insights from a 2-year follow-up international multicentric study.
abstract: OBJECTIVE
  The Ophira Mini Sling System involves anchoring a midurethral, low-tension tape to the obturator internus muscles bilaterally at the level of the tendinous arc. Success rates in different subsets of patients are still to be defined. This work aims to identify which factors influence the 2-year outcomes of this treatment.
  
  
  METHODS
  Analysis was based on data from a multicenter study. Endpoints for analysis included objective measurements: 1-h pad-weight (PWT), and cough stress test (CST), and questionnaires: International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and Urinary Distress Inventory (UDI)-6. A logistic regression analysis evaluated possible risk factors for failure.
  
  
  RESULTS
  In all, 124 female patients with stress urinary incontinence (SUI) underwent treatment with the Ophira procedure. All patients completed 1 year of follow-up, and 95 complied with the 2-year evaluation. Longitudinal analysis showed no significant differences between results at 1 and 2 years. The 2-year overall objective results were 81 (85.3%) patients dry, six (6.3%) improved, and eight (8.4%) incontinent. A multivariate analysis revealed that previous anti-incontinence surgery was the only factor that significantly influenced surgical outcomes. Two years after treatment, women with previous failed surgeries had an odds ratio (OR) for treatment failure (based on PWT) of 4.0 [95% confidence interval (CI) 1.02-15.57).
  
  
  CONCLUSIONS
  The Ophira procedure is an effective option for SUI treatment, with durable good results. Previous surgeries were identified as the only significant risk factor, though previously operated patients showed an acceptable success rate.
authors.affiliation: Division of Female Urology, University of Campinas (UNICAMP), Campinas, Brazil.
authors.forename: Paulo
authors.initials: P
authors.lastname: Palma
authors.forename: Cassio
authors.initials: C
authors.lastname: Riccetto
authors.forename: Elaine
authors.initials: E
authors.lastname: Bronzatto
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Castro
authors.forename: Sebastian
authors.initials: S
authors.lastname: Altuna
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D038622:Internationality; D008875:Middle Aged; D011446:Prospective Studies; D011474:Prosthesis Design; D012307:Risk Factors; D053825:Suburethral Slings; D013997:Time Factors; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000295:instrumentation / Q000379:methods