title: Two new mini-slings compared with transobturator tension-free vaginal tape for treatment of stress urinary incontinence: A 1-year follow-up randomized controlled trial.
abstract: OBJECTIVE
  The aim of this study was to compare the outcome of two single-incision mini-slings (the Contasure-Needleless [C-NDL] and the endopelvic free anchorage) with the standard midurethral transobturator tension-free vaginal tape (TVT-O) procedure.
  
  
  METHODS
  A double blind randomized controlled study was conducted at Ain Shams University Maternity Hospital from August 2014 until July 2015. A total of 209 patients were randomized into three groups. The first group underwent the TVT-O procedure, the second group underwent the endopelvic free anchorage procedure and the third group underwent the C-NDL procedure. Patients were followed up for 12 months in terms of subjective cure, objective cure, and complications rate.
  
  
  RESULTS
  After 12 months of follow-up, there were no differences among the three groups in terms of objective cure rate, subjective cure rate, patient satisfaction, or incidence of complications (de novo urge, hemorrhage, infection, and mesh erosion). The C-NDL was associated with a shorter operative time (P < 0.001) and less blood loss (P = 0.021) than the standard TVT-O.
  
  
  CONCLUSIONS
  The new single-incision mini-slings showed similar efficacy and patient acceptance to that of the standard TVT-O for up to 12 months postoperatively with no difference in the complications rate. The C-NDL is associated with shorter operative time and less blood loss.
authors.affiliation: Obstetrics and Gynecology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.|Obstetrics and Gynecology Department, Heart of England NHS hospital, Sutton Coldfield, UK.
authors.forename: Mohamed E
authors.initials: ME
authors.lastname: Gaber
authors.affiliation: Obstetrics and Gynecology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
authors.forename: Tamer
authors.initials: T
authors.lastname: Borg
authors.affiliation: Obstetrics and Gynecology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
authors.forename: Hazem
authors.initials: H
authors.lastname: Samour
authors.affiliation: Obstetrics and Gynecology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
authors.forename: Mai
authors.initials: M
authors.lastname: Nawara
authors.affiliation: Obstetrics and Gynecology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Reda
mesh_terms: D000328:Adult; D004311:Double-Blind Method; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D010149:Postoperative Pain / Q000150:complications; D017060:Patient Satisfaction; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods*
keywords: endopelvic free anchorage technique; mini-slings; needleless; stress urinary incontinence; transobturator tension-free vaginal tape