KUMJ | VOL. 21 | NO. 2 | ISSUE 82 | APRIL - JUNE, 2023

Solyx Minisling Surgery for Stress Urinary Incontinence: Dhulikhel Hospital Initiative
Shrestha A, Hagemeier T


Abstract:
Solyx mini-sling surgery is a single-incision procedure that is used to treat stress urinary incontinence (SUI) in women. SUI is a common medical condition characterized by the involuntary leakage of urine with activity such as laughing, coughing, and sneezing. It affects 35% of adult women worldwide. The Solyx sling is a minimally invasive procedure that can be performed through a single vaginal incision. It is a safe and effective treatment for SUI, with a high success rate. The mini-sling is inserted through a small, single incision in the vagina. This makes the procedure less invasive than traditional sling surgery, which requires a larger incision in the abdomen or groin. The Solyx mini sling is also adjustable, which means that the surgeon can make adjustments to the tension of the sling after it is inserted. This helps to ensure that the sling is properly positioned and that the patient experiences optimal results. We have performed Solyx minisling surgery in 182 women and we found it very effective. 96% of women had no leakage of urine while coughing, sneezing after one week of surgery. We have performed this surgery in rural areas of Nepal where there is no facility of cystoscopy.
Keyword : Effective, Less invasive, Rural, Single incision, Solyx mini sling, Stress urinary incontinence (SUI)