Objectives

To evaluate the long-term efficacy of a surgeon-tailored single-incision mini-sling procedure (SIMS) for the surgical treatment of stress urinary incontinence (SUI) in terms of objective cure rates, quality of life, and cost-effectiveness.

Study design

This retrospective study included 93 women with pure SUI who underwent surgeon-tailored SIMS. All patients were evaluated with a stress cough test and quality of life questionnaire (Incontinence Impact Questionnaire [IIQ-7]) at 1 month, 6 months, 1 year, and last follow-up visit (4–7 years). Early and late (after 1 month) complication rates and the reoperation rate were also evaluated.

Results

Mean operative time and follow-up duration were 12 ± 2.5 min and 5.7 years (4–7 years), respectively. Objective cure rates determined by the stress cough test were 83.8%, 94.6%, 93.5%, and 91.3% at 1 month, 6 months, 1 year, and last follow-up, respectively. IIQ-7 scores improved at every visit compared to the preoperative value. There were no cases of hematuria, bladder perforation, or major bleeding requires a blood transfusion.

Conclusion

Our results suggest that the surgeon-tailored SIMS procedure has high efficacy and low complication rates and offers a practical and inexpensive alternative to commercial high-cost SIMS systems.

中文翻译：

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使用外科医生定制的网片进行单切口迷你吊带手术的长期疗效

目标

从客观治愈率、生活质量和成本效益方面评估外科医生定制的单切口迷你吊带手术 (SIMS) 用于手术治疗压力性尿失禁 (SUI) 的长期疗效。

学习规划

这项回顾性研究纳入了 93 名患有单纯 SUI 的女性，她们接受了外科医生定制的 SIMS。所有患者在 1 个月、6 个月、1 年和最后一次随访（4-7 年）时均通过应激性咳嗽测试和生活质量问卷（失禁影响问卷 [IIQ-7]）进行评估。还评估了早期和晚期（1个月后）并发症发生率以及再次手术率。

结果

平均手术时间和随访时间分别为 12 ± 2.5 分钟和 5.7 年（4-7 年）。应激性咳嗽试验确定的1个月、6个月、1年和末次随访时的客观治愈率分别为83.8%、94.6%、93.5%和91.3%。与术前相比，每次就诊时的 IIQ-7 分数都有所提高。没有出现血尿、膀胱穿孔或大出血需要输血的病例。

结论

我们的结果表明，外科医生定制的 SIMS 手术具有高功效和低并发症率，并为商业高成本 SIMS 系统提供了实用且廉价的替代方案。