Partially absorbable lightweight sub mid-urethral sling implant (serasis) for female stress urinary incontinence treatment - 355 operations

Objectives: Serasis is a partially absorbable lightweight sub mid-urethral sling for treating female stress urinary incontinence (SUI).Its placement is considered less traumatic than other mid-urethral slings as, due to its nature of weaving and soft edges it causes less damage to the tissue, diminishing post-operative pain and the extent of tissue scarring.The aim of the study was to evaluate the efficacy and safety of treating SUI using the partially absorbable lightweight mid-urethral sling Serasis placed at the sub mid-urethra. Materials and Methods:This is a retrospective study.Pre-operative, intra-operative and post-operative data was retrieved from patients' electronic files.The patients reported their subjective functional outcomes on the first post-operative day, one month, and four months after surgery.The reported intra-and post-operative complications, post-operative lower urinary tract symptoms, bowel symptoms, dyspareunia, functional results, were tabulated and assessed.Physical evaluation on the first post-operative month were tabulated as well. Results:The study of SUI reporting female study population (n=355) had a mean age of 50.110.3years, 4.5% had previous hysterectomy, 118 patients (33.2%) reported pre-operative overactive bladder.Concomitant anterior and posterior colporrhaphy was performed in 230 (64.8%) cases.No significant intraoperative complications were recorded.95.9% of the patients were satisfied with the procedure at the 4-month follow-up (F/U).The recurrence rate was 3.7%.Ten patients were lost to F/U.There were 2 (0.4%) reported incidents of implant exposure in the 4-months F/U that were successfully treated surgically. Conclusion:The Serasis partially absorbable lightweight sub mid-urethral sling for treating SUI is safe and efficient and carries a minimal risk of complications upon short term F/U period.