title: Safety and efficacy of single-incision sling for female stress urinary incontinence: 3 years' results.
abstract: OBJECTIVE
  The purpose of this study was to investigate the success and complication rates of single-incision sling for treating stress urinary incontinence (SUI), with a 3-year follow-up.
  
  
  METHODS
  This study comprised 173 female patients with SUI or mixed urinary incontinence (MUI) with dominant SUI who underwent minisling procedure. All patients had positive cough stress test preoperatively; they were followed up for 3 years after surgery (1, 3, 6, 12 months, and yearly).
  
  
  RESULTS
  Total follow-up was 36 months, and mean age 51 years (44-77); 128 (74 %) patients presented SUI and 45 (26 %) MUI. Objective and subjective cure and failure rates were 83.8 % (145 cases), 6.4 % (11 cases), and 9.8 % (17 cases), respectively. There were no differences in cure rates between 1 and 3 years. Mean body mass index was 28.7 (26.1-35.2), and mean operating time 7.9 min. (6.5-11.9). There were no major intraoperative complications. Eleven patients (6.4 %) had de novo urge incontinence that resolved using anticholinergic drugs; no patient had urinary retention. Vaginal mesh extrusion was reported in nine (5.2 %) patients.
  
  
  CONCLUSIONS
  The minisling system attained high success rates at 3 years' follow-up. The procedure was easy to learn and has lower complication rate.
authors.affiliation: Department of Urology, Dr. Suat Seren Chest Diseases and Surgery Teaching and Research Hospital, Izmir, Turkey.
authors.forename: Güner
authors.initials: G
authors.lastname: Yildiz
authors.affiliation: Department of Urology, Bozyaka Teaching and Research Hospital, Izmir, Turkey. dryasinceylan@yahoo.com.
authors.forename: Yasin
authors.initials: Y
authors.lastname: Ceylan
authors.affiliation: Department of Urology, Celal Bayar University Medical Faculty, Manisa, Turkey.
authors.forename: Oktay
authors.initials: O
authors.lastname: Ucer
authors.affiliation: Department of Urology, Dr. Suat Seren Chest Diseases and Surgery Teaching and Research Hospital, Izmir, Turkey.
authors.forename: Deniz
authors.initials: D
authors.lastname: Arslan
authors.affiliation: Department of Urology, Tepecik Teaching and Research Hospital, Izmir, Turkey.
authors.forename: Orçun
authors.initials: O
authors.lastname: Çelik
authors.affiliation: Department of Urology, Bozyaka Teaching and Research Hospital, Izmir, Turkey.
authors.forename: Bülent
authors.initials: B
authors.lastname: Gunlusoy
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D061646:Operative Time; D011184:Postoperative Period; D011446:Prospective Studies; D018709:Statistics, Nonparametric; D053825:Suburethral Slings; D013526:Surgical Mesh / Q000009:adverse effects; D013997:Time Factors; D016896:Treatment Outcome; D014463:Ultrasonography; D001743:Urinary Bladder / Q000000981:diagnostic imaging; D014550:Urinary Incontinence, Stress / Q000601:surgery*
keywords: Mixed urinary incontinence; Single-incision sling; Stress urinary incontinence