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Related Experiment Video

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Mini-slings can cause complications.

Burhan Coskun1, Rebecca S Lavelle, Feras Alhalabi

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International Urogynecology Journal
|October 24, 2014
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Single-incision mini-slings (SIMS) can lead to complications like incontinence and pain. Vaginal removal of SIMS offered cure for only 35% of women, highlighting the need for caution and counseling.

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Area of Science:

  • Urology
  • Gynecology
  • Pelvic Floor Disorders

Background:

  • Single-incision mini-slings (SIMS) are used for stress urinary incontinence.
  • Complications associated with transobturator and retropubic midurethral slings have led to the advocacy of SIMS.
  • This study examines complications and outcomes following vaginal removal of SIMS.

Purpose of the Study:

  • To report on the complications of single-incision mini-slings (SIMS).
  • To evaluate the outcomes of vaginal removal of SIMS for managing complications.
  • To assess patient-reported outcomes after SIMS removal.

Main Methods:

  • A prospective database of women undergoing SIMS removal for complications was reviewed.
  • Inclusion criteria required a minimum 6-month follow-up post-removal.
  • Patient-reported outcomes were assessed, defining cure as continent, pain-free, and sexually active if previously so.

Main Results:

  • Seventeen women met the inclusion criteria, with presenting symptoms including incontinence, pelvic pain, dyspareunia, and urinary retention.
  • Thirty-five percent (6/17) of women achieved a cure after SIMS removal.
  • Improvements were noted in pain, sexual activity, and incontinence for some women, but persistent symptoms were also reported.

Conclusions:

  • Single-incision mini-slings (SIMS) are associated with complications similar to other midurethral synthetic tapes.
  • Vaginal removal of SIMS resulted in cure for a minority of patients.
  • Caution and thorough patient counseling are essential when considering SIMS placement.