{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T13:25:26Z","timestamp":1782739526985,"version":"3.54.5"},"reference-count":33,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2017,9,15]],"date-time":"2017-09-15T00:00:00Z","timestamp":1505433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Nordic Federation of Obstetrics and Gynecology Research Fund","award":["NF12013"],"award-info":[{"award-number":["NF12013"]}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The primary aim of this study was to compare the objective and subjective outcomes and short\u2010term complication rates of an adjustable single\u2010incision mini\u2010sling (<jats:styled-content style=\"fixed-case\">SIMS<\/jats:styled-content>) vs. standard mid\u2010urethral slings (<jats:styled-content style=\"fixed-case\">SMUS<\/jats:styled-content>). The secondary aim was to report pain perception and complications at the one\u2010year follow up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>The study was designed as a multicenter prospective randomized trial where women were included from eight centers in Denmark, Norway and Sweden. The trial was registered at ClinicalTrials.gov: <jats:styled-content style=\"fixed-case\">NCT<\/jats:styled-content>01754558. A total of 305 women less than 60\u00a0years old with verified stress urinary incontinence were included. All women were randomized to <jats:styled-content style=\"fixed-case\">SIMS<\/jats:styled-content> (Ajust<jats:sup><jats:bold>\u00ae<\/jats:bold><\/jats:sup>; <jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>155) or <jats:styled-content style=\"fixed-case\">SMUS<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">TVT<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> TVT<\/jats:styled-content>\u2010O or <jats:styled-content style=\"fixed-case\">TOT<\/jats:styled-content>;<jats:italic> n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>150) and were evaluated by stress test and bladder diary before and after surgery and symptoms related to incontinence using <jats:styled-content style=\"fixed-case\">ICIQ<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> PISQ<\/jats:styled-content>\u201012 and <jats:styled-content style=\"fixed-case\">PGI<\/jats:styled-content>\u2010S and <jats:styled-content style=\"fixed-case\">PGI<\/jats:styled-content>\u2010I. Objective cure was defined as no leakage during a stress test and subjective cure defined as no leakage stated in the bladder diary or no indication of urinary leakage in the <jats:styled-content style=\"fixed-case\">ICIQ<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>. Furthermore, mesh exposure and dyspareunia were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 280 women [141 (91%) in the <jats:styled-content style=\"fixed-case\">SIMS<\/jats:styled-content> and 139 (94%) in the <jats:styled-content style=\"fixed-case\">SMUS<\/jats:styled-content> groups] participated in the one\u2010year follow up. No difference between the groups was observed regarding objective and subjective outcomes. <jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content> score disclosed a lower postoperative pain perception in the <jats:styled-content style=\"fixed-case\">SIMS<\/jats:styled-content> group than in the <jats:styled-content style=\"fixed-case\">SMUS<\/jats:styled-content> group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Ajust<jats:sup><jats:bold>\u00ae<\/jats:bold><\/jats:sup> appears to be as efficient as <jats:styled-content style=\"fixed-case\">SMUS<\/jats:styled-content> regarding objective and subjective outcomes and was associated with less pain perception during the postoperative period.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.13205","type":"journal-article","created":{"date-parts":[[2017,8,17]],"date-time":"2017-08-17T07:57:15Z","timestamp":1502956635000},"page":"1347-1356","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Adjustable mini\u2010sling compared with conventional mid\u2010urethral slings in women with urinary incontinence. 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