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Introduction and Hypothesis <p>The study is primarily aimed at comparing the outcome of voiding dysfunction related to over-tension and the resumption of normal voiding after tension-releasing suture (TRS) manipulation following Solyx and I-stop-mini procedures. Second, it is aimed at determining the cure rate, complications, and quality of life at 1 year postoperatively.</p> Methods <p>This is a retrospective study conducted from March 2015 to June 2023. Patients with clinically confirmed pure stress urinary incontinence (SUI) and urodynamic stress incontinence were included; those with pelvic organ prolapse (POP) greater than stage II, neurogenic lower urinary tract dysfunction, or post-void residual of more than 100&#xa0;ml were excluded. Standardized preoperative evaluations and TRS were used. Follow-ups were conducted at 1&#xa0;week, 1&#xa0;month, 3&#xa0;months, 6&#xa0;months, and annually. Statistical analyses were performed using SPSS version 17.</p> Results <p>Out of 453 patients, 333 underwent Solyx and 120 underwent I-stop-mini procedures. The mean age was 56.6&#xa0;years with an average BMI of 25.4. After Solyx, 18.9% had urinary retention whereas 10.8% had urinary retention after I-stop-mini. TRS manipulation was done in 12% post-Solyx and 4.2% post-I-stop-mini. Objective cure rates were 87.1% for Solyx and 91.7% for the I-stop-mini, with no statistical difference. Two patients in the Solyx group required repeat mid-urethral sling surgery. No cases of mesh erosion were noted in either of the groups.</p> Conclusions <p>Solyx and I-stop-mini are both effective at treating SUI. A short-tape single-incision sling device&#xa0;(Solyx) resulted in more voiding dysfunction than the adjustable-length device&#xa0;(I-stop-mini). TRS helps to resolve postoperative&#xa0;voiding dysfunction.</p>

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Comparison of Clinical Outcomes on Short Tape Single-Incision Sling Devices (Solyx) and Adjustable Length Device (I-Stop-Mini) for Urodynamic Stress Incontinence at 1 Year

  • 期刊论文

  • 发表日期：

    2025年5月20日

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  • Tsia-Shu Lo,
  • Louiza Erika Rellora,
  • Eyal Rom,
  • Chia-Hsuan Yang,
  • Huan-Ka Chiung

摘要

Introduction and Hypothesis

The study is primarily aimed at comparing the outcome of voiding dysfunction related to over-tension and the resumption of normal voiding after tension-releasing suture (TRS) manipulation following Solyx and I-stop-mini procedures. Second, it is aimed at determining the cure rate, complications, and quality of life at 1 year postoperatively.

Methods

This is a retrospective study conducted from March 2015 to June 2023. Patients with clinically confirmed pure stress urinary incontinence (SUI) and urodynamic stress incontinence were included; those with pelvic organ prolapse (POP) greater than stage II, neurogenic lower urinary tract dysfunction, or post-void residual of more than 100 ml were excluded. Standardized preoperative evaluations and TRS were used. Follow-ups were conducted at 1 week, 1 month, 3 months, 6 months, and annually. Statistical analyses were performed using SPSS version 17.

Results

Out of 453 patients, 333 underwent Solyx and 120 underwent I-stop-mini procedures. The mean age was 56.6 years with an average BMI of 25.4. After Solyx, 18.9% had urinary retention whereas 10.8% had urinary retention after I-stop-mini. TRS manipulation was done in 12% post-Solyx and 4.2% post-I-stop-mini. Objective cure rates were 87.1% for Solyx and 91.7% for the I-stop-mini, with no statistical difference. Two patients in the Solyx group required repeat mid-urethral sling surgery. No cases of mesh erosion were noted in either of the groups.

Conclusions

Solyx and I-stop-mini are both effective at treating SUI. A short-tape single-incision sling device (Solyx) resulted in more voiding dysfunction than the adjustable-length device (I-stop-mini). TRS helps to resolve postoperative voiding dysfunction.