The MiniArc™ sling is a next generation midurethral sling that is placed through a single incision with anchoring tips that fix into the obturator muscles. A new study reports 12-month success rates for this sling ranging from 85–91%, depending on the outcome measure evaluated, with a low rate of adverse events. Despite these encouraging results, long-term data are needed to demonstrate distinct advantages of the MiniArc™ over existing slings, combined with proven efficacy and safety.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Kennelly, M. J., Moore, R., Nguyen, J. N., Lukban, J. C. & Siegel, S. Prospective evaluation of a single incision sling for stress urinary incontinence. J. Urol. 184, 604–609 (2010).
Petros, P. E. & Ulmsten, U. I. An integral theory of female urinary incontinence. Experimental and clinical considerations. Acta Obstet. Gynecol. Scand. Suppl. 153, 7–31 (1990).
Rapp, D. E. & Kobashi, K. C. The evolution of midurethral slings. Nat. Clin. Pract. Urol. 5, 194–201 (2008).
Olsson, I., Abrahamsson, A. K. & Kroon, U. B. Long-term efficacy of the tension-free vaginal tape procedure for the treatment of urinary incontinence: a retrospective follow-up 11.5 years post-operatively. Int. Urogynecol. J. Pelvic Floor Dysfunct. 21, 679–683 (2010).
Novara, G. et al. Complication rates of tension-free midurethral slings in the treatment of female stress urinary incontinence: a systematic review and meta-analysis of randomized controlled trials comparing tension-free midurethral tapes to other surgical procedures and different devices. Eur. Urol. 53, 288–308 (2008).
Rovner, E. S., Wright, C. J. & Messer, H. Adherence to the 1997 American Urological Association guidelines for the surgical treatment of stress urinary incontinence. Urology 71, 239–242 (2008).
Cornu, J. N., et al. Midterm prospective evaluation of TVT-Secur reveals high failure rate. Eur. Urol. 58, 157–161 (2010).
Dmochowski, R. R. et al. Update of AUA guideline on the surgical management of female stress urinary incontinence. J. Urol. 183, 1906–1914 (2010).
De Ridder, D. et al. Single incision mini-sling versus a transobturator sling: a comparative study on MiniArc and Monarc slings. Int. Urogynecol. J. Pelvic Floor Dysfunct. 21, 773–778 (2010).
Martan, A. et al. Initial experience with a short, tension-free vaginal tape (the tension-free vaginal tape secur system). Eur. J. Obstet. Gynecol. Reprod. Biol. 143, 121–125 (2009).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing financial interests.
Rights and permissions
About this article
Cite this article
King, A., Rapp, D. Evaluation of a midurethral single incision sling. Nat Rev Urol 7, 539–541 (2010). https://doi.org/10.1038/nrurol.2010.145
Published:
Issue Date:
DOI: https://doi.org/10.1038/nrurol.2010.145
