Long Term Follow up of the Solyx Single Incision Sling in the Treatment of Female Stress Urinary Incontinence (SUI)


Objectives: The Solyx System was developed to be easier and safer to use than other slings. It was the objective of this study to retrospectively assess the long-term safety and efficacy of the SolyxTM SIS Sling System. Methods: After IRB approval and informed consent, chart reviews with follow up phone questionnaires of 69 subjects implanted with the Solyx Sling were collected at 2 sites. All of the patients had SUI and had urethral hypermobility with a q-tip test of >30 degrees. All subjects underwent surgery from 12/2008 to 01/2010 with a mean follow up of 43 months (range 39 -49). Subjects included in this data collection had a mean age of 67 years (range 30 -87). The dominant type of incontinence within the study patients was SUI while 17/69 (25%) of the subjects also had a component of urge incontinence. 38/69 (55%) of study patients had concomitant procedures. Results: Long-term Solyx results showed 64/69 (93%) of patients were subjectively dry by questionnaire and were satisfied with their outcome. 63/69 (91%) would have the procedure again. There were 4 cases of denovo urge incontinence and 2 reports of transient retention. There were no serious adverse events including no bladder, bowel, vessel or nerve perforations and no erosions or extrusions. No pain was reported that was attributed to the implant. Conclusions: Chart review with follow phone questionnaires indicated that the Solyx Sling was a safe, efficacious and less-invasive option for patients requiring SUI surgery and that these results were sustainable for an average of 43 months.

Share and Cite:

S. Serels and M. Douso, "Long Term Follow up of the Solyx Single Incision Sling in the Treatment of Female Stress Urinary Incontinence (SUI)," Open Journal of Urology, Vol. 4 No. 2, 2014, pp. 13-17. doi: 10.4236/oju.2014.42003.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] U. Ulmsten, P. Johnson and M. Rezapour, “A Three-Year Follow up of Tension-Free Vaginal Tape for Surgical Treatment of Female Stress Urinary Incontinence,” British Journal of Obstetrics and Gynaecology, Vol. 106, No. 4, 1999, pp. 345-350.
[2] G. B. Boustead, “The Tension-Free Vaginal Tape for Treating Female Stress Urinary Incontinence,” BJU International, Vol. 89, No. 7, 2002, pp. 687-693.
[3] N. Kuuva and C. G. Nilsson, “A Nationwide Analysis of Complications Associated with the Tension-Free Vaginal Tape (TVT) Procedure,” Acta Obstetricia et Gynecologica Scandinavica, Vol. 81, No. 1, 2002, pp. 72-77. http://dx.doi.org/10.1034/j.1600-0412.2002.810113.x
[4] P. E. Petros and P. A. Richardson, “Midurethral Tissue Fixation System Sling—A ‘Micromethod’ for Cure of Stress Incontinence—Preliminary Report,” Australian and New Zealand Journal of Obstetrics and Gynaecology, Vol. 45, No. 5, 2005, pp. 372-375.
[5] S. Serels, M. Douso and G. Short, “Retrospective Review of Early Experience Using the Boston Scientific SolyxTM Single Incision Sling System to Treat Stress Urinary Incontinence in Women: Intraoperative Experience,” International Urogynecology Journal, Vol. 21, No. 5, 2010, pp. 557-561.
[6] S. Serels, S. B. Nosseir, L. R. Lind and H. A. Winkler, “Safety and Efficacy of the Solyx Single-Incision Sling for the Treatment of Stress Urinary Incontinence: Preliminary Results,” UroToday International Journal, Vol. 4, No. 1, 2011, art 5. http://dx.doi.org/10.3834/uij.1944-5784.2011.02.05
[7] F. Araco, G. Gravante, R. Sorge, et al., “TVT-O vs TVT: a Randomized Trial in Patients with Different Degrees of Urinary Stress Incontinence,” International Urogynecology Journal and Pelvic Floor Dysfunction, Vol. 19, No. 7, 2008, pp. 917-926. http://dx.doi.org/10.1007/s00192-007-0554-y
[8] M. Neuman, “TVT and TVT-Obturator. Comparison of Two Operative Procedures,” European Journal of Obstetrics & Gynecology and Reproductive Biology, Vol. 131, No. 1, 2007, pp. 89-92.
[9] A. Liapis, P. Bakas, M. Giner, et al., “Tension-Free Vaginal Tape versus Tension-Free Vaginal Tape Obturator in Women with Stress Urinary Incontinence,” Gynecologic and Obstetric Investigation, Vol. 62, No. 3, 2006, pp. 160-164. http://dx.doi.org/10.1159/000093320
[10] P. Debodinance, “Trans-Obturator Urethral Sling for Surgical Correction of Female Stress Urinary Incontinence: Outside-In (Monarc) versus Inside-Out (TVT-O). Are Both Ways Safe?” Journal de Gynécologie Obstétrique et Biologie de la Reproduction (Paris), Vol. 35, No. 6, 2006, pp. 571-577.
[11] T. M. Roth, “Management of Persistent Groin Pain After Transobturator Slings,” International Urogynecology Journal and Pelvic Floor Dysfunction, Vol. 18, No. 11, 2007, pp. 1371-1373.
[12] D. Waltregny, O. Reul, B. Mathantu, et al. Inside out Transobturator Vaginal Tape for the Treatment of Female Stress Urinary Incontinence: Interim Results of a Prospective Study after a 1-Year Minimum Followup,” Journal of Urology, Vol. 175, No. 6, 2007, pp. 2191-2195.
[13] P. E. Petros and P. A. Richardson, “Midurethral Tissue Fixation System (TFS) Sling for Cure of Stress Incontinence—3 Year Results,” International Urogynecology Journal and Pelvic Floor Dysfunction, Vol. 19, No. 6, 2008, pp. 869-871. http://dx.doi.org/10.1007/s00192-007-0547-x
[14] P. Palma, C. Riccetto, R. Reges, et al., “Arcus to Arcus Microsling: Technique and Preliminary Results,” International Urogynecology Journal, Vol. 19, No. 8, 2008, pp. 1133-1136.
[15] R. Alinsod and M. Safir, “Initial Outcomes of a Stabilized Adjustable Minisling for Female Urinary Stress Incontinence. Abstract 865,” ICS Annual Congress, San Francisco, 2009.
[16] R. D. Moore, G. K. Mitchell and J. R. Miklos, “Single-Center Retrospective Study of the Technique, Safety, and 12-Month Efficacy of the MiniArc Single-Incision Sling: A New Minimally Invasive Procedure for Treatment of Female SUI,” Surgical Technology International, Vol. 18, 2009, pp. 175-181.
[17] M. Meschia, P. Barbacini, V. Ambrogi, et al., “TVTSecur: A Minimally Invasive Procedure for the Treatment of Primary Stress Urinary Incontinence. One Year Data from a Multi-Centre Prospective Trial,” International Urogynecology Journal, Vol. 20, No. 3, 2009, pp. 313-317.

Copyright © 2023 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.