{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T20:57:27Z","timestamp":1762981047569,"version":"3.40.5"},"reference-count":18,"publisher":"S. Karger AG","issue":"1-2","license":[{"start":{"date-parts":[[2020,12,2]],"date-time":"2020-12-02T00:00:00Z","timestamp":1606867200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2020,12,2]],"date-time":"2020-12-02T00:00:00Z","timestamp":1606867200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"published-print":{"date-parts":[[2021]]},"abstract":"<b><i>Introduction:<\/i><\/b> It is known that failures after midurethral slings increase with the follow-up time. Nevertheless, data concerning mini-slings are sparse. To clarify this statement, we analyze a mini-sling cohort with a median follow-up of 10 years. Although the brand used, MiniArc<sup>\u00ae<\/sup>, is no longer available, an identical device, Solyx\u2122, can still be used, which makes the analysis of the cohort clinically relevant. <b><i>Material and Methods:<\/i><\/b> A total of 172 women with predominant stress urinary incontinence (SUI) were consecutively treated with the mini-sling MiniArc<sup>\u00ae<\/sup> from 2006 until 2013. They were reevaluated in 2018. The primary outcome, treatment success, was defined as no self-reported SUI symptoms and no reintervention. Secondary outcomes included the response to patient-reported outcomes. Adverse events were assessed. <b><i>Results:<\/i><\/b> After a median follow-up time of 113 months, 115 (66.9%) women were available for reevaluation. Forty-four (38.3%) women self-reported SUI. Seventeen women had been reoperated, 14 (12.2%) due to the reappearance of SUI and 3 due to complications. Altogether, MiniArc<sup>\u00ae<\/sup> had an overall success rate of 47.0% at 10 years. Among those not reoperated, 63.3% stated that they were much better or very much better in Patient Global Impression of Improvement (PGI-I) and 71.4% affirmed that their continence problem was normal or mild in Patient Global Impression of Severity (PGI-S). Almost 85% would repeat the surgery. Reoperation due to complications was rare (2.6%). De novo urgency appeared in 30.6% of the patients and it was managed with anticholinergic drugs with favorable outcomes. <b><i>Discussion\/Conclusion:<\/i><\/b> This report adds evidence to the long-term outcomes of mini-slings, confirming that they can cure or improve SUI and give patients high satisfaction rates, at the expense of low morbidity. <\/jats:p>","DOI":"10.1159\/000511648","type":"journal-article","created":{"date-parts":[[2020,12,2]],"date-time":"2020-12-02T22:00:38Z","timestamp":1606946438000},"page":"143-147","source":"Crossref","is-referenced-by-count":5,"title":["Mini-Slings: Do They Stand the Test of Time? A 10-Year Cohort"],"prefix":"10.1159","volume":"105","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5889-3994","authenticated-orcid":false,"given":"Margarida","family":"Manso","sequence":"first","affiliation":[]},{"given":"Francisco","family":"Botelho","sequence":"additional","affiliation":[]},{"given":"Carlos","family":"Silva","sequence":"additional","affiliation":[]},{"given":"Francisco","family":"Cruz","sequence":"additional","affiliation":[]}],"member":"127","published-online":{"date-parts":[[2020,12,2]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10052"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2009.02.038"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0912658"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2014.08.089"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000010283"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2013.08.032"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-017-3362-z"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23036"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/659383"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2003.379"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD008709.pub3"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2016.08.054"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2019.03.003"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22972"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23328"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2010.08.039"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2010.06.007"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2017.03.048"}],"container-title":["Urologia Internationalis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/511648","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/511648","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:09:01Z","timestamp":1745424541000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000511648"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,2]]},"references-count":18,"journal-issue":{"issue":"1-2","published-online":{"date-parts":[[2021,1,20]]},"published-print":{"date-parts":[[2021,2,9]]}},"URL":"https:\/\/doi.org\/10.1159\/000511648","archive":["Portico"],"relation":{},"ISSN":["0042-1138","1423-0399"],"issn-type":[{"type":"print","value":"0042-1138"},{"type":"electronic","value":"1423-0399"}],"subject":[],"published":{"date-parts":[[2020,12,2]]}}}