Adjustable single-incision mini-slings (Ajust®) versus other slings in surgical management of female stress urinary incontinence: a meta-analysis of effectiveness and complications

Bai, Fuding; Chen, Jimin; Zhang, Zhewei; Zheng, Yichun; Wen, Jiaming; Mao, Xiawa; Zhang, Nan

doi:10.1186/s12894-018-0357-0

Table 1 Characteristics of included studies

From: Adjustable single-incision mini-slings (Ajust®) versus other slings in surgical management of female stress urinary incontinence: a meta-analysis of effectiveness and complications

First author, year	Region	Sample size		Age	Follow up (months)	Definition of subjective cure	Definition of objective cure	Outcomes	Jadad score
Xing X, 2016	China	Adjustable SIMS	184	57.6 ± 6.8	12	Defined as “very much improved” or “much improved” on the PGI-I scale	Negative CST	(a) (b) (c)	3
Xing X, 2016	China	TVT-O	184	56.5 ± 5.7	12		Negative CST	(a) (b) (c)	3
Mostafa, 2012 and 2013	UK	Adjustable SIMS	69	52.6 ± 11.2	4-6/12^a	Responses of “very much/much improved” on PGI-I	Negative CST with comfortably full bladder	(a) (b) (c) (d)	3
Mostafa, 2012 and 2013	UK	TVT-O	68	49.4 ± 8.8	4-6/12^a	Responses of “very much/much improved” on PGI-I	Negative CST with comfortably full bladder	(a) (b) (c) (d)	3
Grigoriadis, 2013	Greece	Adjustable SIMS	86	65.2 (47-81)	22.3 (12-36)	No loss of urine with exercise, coughing or weight lifting	Absence of stress urinary incontinence during CST	(a) (b) (c) (d)	3
Grigoriadis, 2013	Greece	TVT-O	85	67.2 (49-82)	22.3 (12-36)	No loss of urine with exercise, coughing or weight lifting	Absence of stress urinary incontinence during CST	(a) (b) (c) (d)	3
Masata, 2016	Czech	Adjustable SIMS	50	55.8 ± 10.2 58.9 ± 12.4	12	No stress leakage of urine after surgery based on the responses to the ICIQ-UI SF	Negative CST	(a)(a)(b)(c)	4
Masata, 2016	Czech	TVT-O	50	55.8 ± 10.2 58.9 ± 12.4	12		Negative CST	(a)(a)(b)(c)	4
Dati, 2012	Italy	Adjustable SIMS	57	NA	6	NA	Negative CST	(b) (c)	3
Dati, 2012	Italy	TVT-O	57	NA	6	NA	Negative CST	(b) (c)	3
Schweitzer, 2015	Netherland	Adjustable SIMS	92	50.86 ± 9.6	12	A negative answer to the Urogenital Distress Inventory question	Negative CST at a bladder volume of at least 300 mL	(a) (b) (c)	4
Schweitzer, 2015	Netherland	TOT	48	48.36 ± 10.2	12		Negative CST at a bladder volume of at least 300 mL	(a) (b) (c)	4
Martan, 2014	Czech	Adjustable SIMS	31	58.97 ± 8.40	28	A drop in the score of more than 50% compared to before the operation based on ICIQ-SF	Negative CST at a bladder volume of at least 300 mL	(a) (a) (b)	2
Martan, 2014	Czech	MiniArc SIMS	32	60.19 ± 8.12	29		Negative CST at a bladder volume of at least 300 mL	(a) (a) (b)	2

SIMS Single-incision mini-slings, TVT-O Tension-free vaginal tape-obturator, TOT Transobturator tape, PGI-I Patient global impression of improvement, ICIQ-SF International Consultation on Incontinence Questionnaire – Short Form, SUI Stress urinary incontinence, CST Cough stress test, NA Not applicable. Outcomes:(a) subjective cure rate, (b) objective cure rate, (c) operative details (such as operation time postoperative pain score) and postoperative complications, (d) sexual function. ^athe subjective and objective cure rate at 12 months follow up in the study of Mostafa 2013 was used in this meta-analysis; the operative details and postoperative complications at 4-6 months follow up in the study of Mostafa 2012 was used for meta-analysis. ^bthe study of Palomba et al. published in 2012 reported the operative details and postoperative complications and the study of Palomba et al. published in 2014 reported the data of patients subjective and objective cure rate

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ISSN: 1471-2490

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