Evaluation of safety and efficacy of single-incision mid-urethral short tape procedure (MiniArc™ tape) for stress urinary incontinence under local anaesthesia.

INTRODUCTION AND HYPOTHESIS: The aim of this study was to assess complications and short-term results (3 months and 1 year) from a single-incision mid-urethral tape for stress urinary incontinence.

METHODS

Seventy-four women underwent single-incision mid-urethral tape under local anaesthesia, 59 of whom completed a 1-year follow-up. Thirty-seven (50%) suffered urodynamic stress urinary incontinence. The International Consultation on Incontinence Questionnaire--Short Form (ICIQ-SF) was completed in the context of the case history pre-operatively and post-operatively. The duration of follow-up ranged from 91 to 466 days.

RESULTS

The use of MiniArc™ tape in our study resulted in the objective cure rate (negative cough stress test) of 74% and 66% at 3 months and 1 year, respectively. Scores with ICIQ-SF questionnaire improved significantly at 3 months and 1 year (p < 0.0001). No major intra-operative complication was reported in our study.

CONCLUSIONS

Despite the advantage of being done under local anaesthetic, the overall cure rate is 66% at 1 year.