Three-year Follow-up of a Single Incision Sling Procedure Performed Under Local Anesthesia in an Office Setting.

Area of Science:

• Urology
• Gynecology
• Minimally Invasive Surgery

Background:

• Stress urinary incontinence (SUI) significantly impacts women's quality of life.
• Midurethral slings are a common treatment for SUI.
• Office-based procedures offer potential benefits in terms of cost and patient convenience.

Purpose of the Study:

• To evaluate the 3-year success rate of single-incision midurethral slings (SIMS) placed using the Dynamic Intraoperative Standing Sling Technique (DISST).
• To assess the long-term efficacy and safety of in-office SIMS procedures under local anesthesia.

Main Methods:

• A prospective case series of 20 women undergoing in-office SIMS by DISST.
• Mean follow-up of 34.3 months.
• Success defined by objective (cough test), subjective (PGI-I score), and no retreatment criteria.

Main Results:

• A 95% composite success rate was observed at 36-month follow-up.
• Sustained improvement in MESA scores was noted.
• No de novo urgency, mesh exposure, voiding dysfunction, recurrent UTIs, or dyspareunia were reported.

Conclusions:

• In-office SIMS using the DISST technique provides sustained efficacy for SUI over 3 years.
• The procedure is well-tolerated with a favorable safety profile.
• Patients report significant improvement in symptoms and quality of life.