The purpose of this study was to investigate the success and complication rates of single-incision sling for treating stress urinary incontinence (SUI), with a 5-year follow-up.

This study comprised 115 female patients with SUI who underwent minisling procedure. All patients had positive cough stress test preoperatively; they were followed up for 5 years after surgery (1, 3, 6, 12 months, and yearly).

Total follow-up was 60 months, and mean age 52 years (45-75); 115 patients presented SUI. Objective and subjective cure and failure rates were 81.7 % (94 cases), 5.2 % (6 cases), and 13 % (15 cases), respectively. There were no differences in cure rates between 1 and 5 years. Mean body mass index was 28.7 (26.1-34.9), and mean operating time 7.4 min. (6.5-10.3). There were no major intraoperative complications. Seven patients (6 %) had de novo urge incontinence that resolved using anticholinergic drugs; no patient had urinary retention. Vaginal mesh extrusion was reported in 5 (4.3 %) patients.

The minisling system attained high success rates at 5 years' follow-up. The procedure was easy to learn and has lower complication rate.