Surgical treatment of stress urinary incontinence with a Mini Sling (OPHIRA™) – a pilot study

Abstract

Design of the study: Cross-sectional. Objectives: To evaluate the efficacy of minisling (Ophyra ™) in women with stress urinary incontinence (SUI). Methods: A prospective, observational study comprised 13 patients who underwent minisling surgery from 2010 to 2011. It was analyzed the following variables: age, subjective success rate (cure and/or improvement), immediate and late surgical complications. Quality of life (QoL) parameters (King’s Health Questionnaire - KHQ) were analyzed before and after one year of surgery. Results: Thirteen per cent (3/13) of women had their SUI relapsed, with 87.5% of subjective success after one year of follow-up. After 12 months of follow-up, women who were considered subjectively cured had improvement in all domains of KHQ QoL scores, except for personal relationships and sleep/energy domains. Four patients had irritative symptoms after surgery and two patients evolved with chronic urinary retention. Conclusion: Minisling Ophira was effective to improve SUI and to promote better QoL on women with SUI. A larger sampling is needed to further compare these patients with women who underwent to classic retropubic techniques.