Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2025 Jun 10;26(2):98-108.
doi: 10.4274/jtgga.galenos.2025.2024-8-7.

Evaluation of the efficacy of mini-sling in the treatment of stress urinary incontinence through patient-reported outcomes and transperineal ultrasonography

Esra Ayanoğlu  1 , Arzu Bilge Tekin  1 , Murat Yassa  2 , Kemal Sandal  1 , Osman Samet Günkaya  1 , Niyazi Tuğ  1
Affiliations

Evaluation of the efficacy of mini-sling in the treatment of stress urinary incontinence through patient-reported outcomes and transperineal ultrasonography

Esra Ayanoğlu et al. J Turk Ger Gynecol Assoc. .

Abstract

Objective: Single-incision slings, such as Contasure-Needleless® (C-NDL), were developed to improve surgical treatment success in stress urinary incontinence (SUI). However, more evidence is needed to describe the outcomes of mini-sling procedures as an alternative to classical mid-urethral slings. The aim was to evaluate the short-term outcomes of the mini-sling procedure using C-NDL in the surgical treatment of SUI patients.

Material and methods: This was a single-center, prospective study including 24 patients with SUI who underwent C-NDL. Michigan Incontinence Severity Index (M-ISI) questionnaire, the Female Sexual Function Index, and the Patient Global Impression of Improvement (PGI-I) questionnaire were applied, as well as trans-perineal ultrasound evaluations at baseline, one month and six months postoperatively.

Results: The PGI-I index showed that 54.17% of participants described their post-operative recovery as "very much better" and 29.17% as "much better". Significant improvements were observed in all SUI and M-ISI-related results. No significant differences were detected in terms of FSFI. Complications were reported as de novo urgency in 4 (16.67%) patients, mesh erosion in 2 (8.33%) patients, and pelvic pain and infection in 1 patient each (4.17%). The mean distance of the mini-sling mesh to the urethra was found to be 5.51±2.3 mm at one month and 4.69±1.85 mm at six months after surgery (p=0.006). The mean urethral rotation angle was decreased following surgery (p<0.001). No significant differences were observed between patients with and without cure regarding any of the examined variables.

Conclusion: For SUI treatment, the C-NDL procedure is a safe and effective method with few complications and high subjective cure rates on short-term follow-up (6 months).

Keywords: Urinary incontinence; patient reported outcome measures; postoperative complications; stress; suburethral slings; ultrasonography.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: No conflict of interest is declared by the authors.

Similar articles

See all similar articles

References

    1. AlQuaiz AM, Kazi A, AlYousefi N, Alwatban L, AlHabib Y, Turkistani I. Urinary incontinence affects the quality of life and increases psychological distress and low self-esteem. Healthcare. 2023;11(12):1772. doi: 10.3390/healthcare11121772. - DOI - PMC - PubMed
    1. Abufaraj M, Xu T, Cao C, Siyam A, Isleem U, Massad A, et al. Prevalence and trends in urinary incontinence among women in the United States, 2005-2018. Am J Obstet Gynecol. 2021;225:166. - PubMed
    1. Basak T, Kok G , Guvenc G. Prevalence, risk factors and quality of life in Turkish women with urinary incontinence: a synthesis of the literature. International nursing review. 2013:60. - PubMed
    1. Sussman RD, Syan R, Brucker BM. Guideline of guidelines: urinary incontinence in women. BJU Int. 2020;125(5):638–55. doi: 10.1111/bju.14927. - DOI - PubMed
    1. Wu JM, Kawasaki A, Hundley AF, Dieter AA, Myers ER, Sung VW. Predicting the number of women who will undergo incontinence and prolapse surgery, 2010 to 2050. Am J Obstet Gynecol. 2011;205(3):230. doi: 10.1016/j.ajog.2011.03.046. - DOI - PMC - PubMed

LinkOut - more resources