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)