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This study was aimed at evaluating whether slings with less synthetic material, Ajust\u2122 and TVT-O Abbrevo\u2122 (TVT-A), have comparable 6\u2013 to 12-month failure and complication rates, including risk of prolonged postoperative pain, compared with traditional slings.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>A registry study from the Norwegian Female Incontinence Registry (NFIR) including 611 Ajust\u2122, 2,772 TVT-A, and 18,612 traditional slings was carried out. Preoperative, surgical, and 6\u2013 to 12-month follow-up data from the period 2009\u20132021 were used. Objective failure was defined as\u2009\u2265\u20091-g leakage on standardized cough-jump stress test. Subjective failure was defined as stress index-score\u2009\u2265\u20093 on a validated questionnaire. Prolonged postoperative pain was defined as lasting\u2009&gt;\u20093\u00a0months.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>At first follow-up after 6\u201312\u00a0months, the groups differed significantly. Objective failure rates were as follows: Ajust\u2122 15.4%, TVT-A 13.5%, and traditional slings 7.3%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01. Subjective failure rates were as follows: Ajust\u2122 23.4%, TVT-A 23.8%, and traditional slings 18.8%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01. Shorter slings had fewer overall complications (Ajust\u2122 4.9% vs TVT-A 6.5% vs traditional slings 9.3%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01), but did not have less prolonged postoperative pain (TVT-A: 1.4% vs Ajust\u2122 0.8% vs traditional slings 0.7%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01\u2009&lt;\u20090.01). All presented outcomes remained significant after adjusting for differences at baseline.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Shorter slings have inferior subjective and objective continence outcomes at 6\u201312\u00a0months, but fewer overall complications except for prolonged postoperative pain.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00192-024-05971-5","type":"journal-article","created":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T21:16:24Z","timestamp":1731532584000},"page":"135-145","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effectiveness and Safety of Shorter Incontinence Slings"],"prefix":"10.1007","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0825-6930","authenticated-orcid":false,"given":"Kjersti","family":"Rimstad","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sissel Hegdahl","family":"Oversand","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie Ellstr\u00f6m","family":"Engh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rune","family":"Svenningsen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,11,13]]},"reference":[{"issue":"7","key":"5971_CR1","first-page":"CD006375","volume":"7","author":"AA Ford","year":"2017","unstructured":"Ford AA, Rogerson L, Cody JD, Aluko P, Ogah JA. 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Rimstad: no conflicts of interest; S.H. Oversand: part-time position (20%) at the Norwegian Female Incontinence Registry; M.E. Engh: no conflicts of interest; R. Svenningsen: speaker fees from Astellas and a part-time (10%) position at the Norwegian Female Incontinence Registry.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of Interest"}}]}}