Background: Stress urinary incontinence (SUI) affects around 35% of adult women and has a significant impact on quality of life. A single incision sling (SIS), such as Altis^®, was introduced to improve original slings and avoid complications. The present study aimed to evaluate the SIS Altis^® subjective and objective cure rates of women with SUI, mixed urinary incontinence (MUI), recurrent SUI, and SUI with concomitant prolapse and report its complications from one single medical center. Methodology: A retrospective cohort, unsponsored study was conducted at the Jordan University Hospital. All women patients were treated with the SIS Altis^® procedure, and prolapse procedures were also completed as necessary. The chi square analysis for the cure rates was conducted between the subgroups. Results: From June 2016 to June 2019, 111 women patients with a mean age of 48.0 ± 11.3 years underwent a SIS Altis^® procedure. The overall outcome resulted in 81% and 85% of patients being subjectively and objectively cured. The subjectively cured MUI patients were significantly fewer than SUI patients (70% versus 86%, p < 0.05), and patients with recurrent SUI had significantly lower rates (56% for subjective and objective cure rates; p < 0.01 and 0.001). Of the 44 patients who underwent SIS Altis^® and concomitant vaginal repair surgery, no significant differences in subjective and objective cure rates were observed. Only 2.7% of women had mild pain, 2.7% had vaginal tape erosion, and 9% had to be re-operated on. Conclusions: The Altis^® procedure is effective in women who suffer from SUI for a 19-month follow-up period. However, recurrent SUI patients had lower subjective and objective cure rates than primary SUI patients. Further research is needed with a larger sample size in a prospective study design to determine the effectiveness of single SIS in patients with recurrent SUI.

Cytomegalovirus (CMV) can be transmitted from the mother to the fetus during pregnancy, leading to a congenital CMV (cCMV), the most common congenital infection worldwide and may lead to severe neurological sequelae. Therefore, it is essential to evaluate the awareness of CMV infection and cCMV in childbearing women in high CMV prevalence countries, such as Jordan. A cross-sectional study was conducted to assess Jordanian women's knowledge and awareness of CMV and cCMV infection, attitudes toward prenatal and neonatal screening for CMV, and the frequency of behaviors that may increase the risk of CMV transmission. Data were collected over two months using a structured questionnaire administered face-to-face in private settings at public community centers and the University of Jordan Hospital clinics. The questionnaire included demographic variables, CMV-related knowledge, attitudes toward screening, and behaviors potentially associated with CMV transmission risk. Data were recorded electronically by interviewers. Out of 589 eligible women, only 16.3% of women had heard of CMV, and among those, 67% were aware of cCMV. Never-pregnant women were more likely to report awareness of cCMV than recently-pregnant women. After receiving educational information about CMV, 91.7% and 94.9% of women believed that CMV screening for pregnant women and newborns, respectively, should be offered. Additionally, 71.3% indicated they would choose prenatal screening in a future pregnancy. Childcare‑related behaviors that may increase CMV transmission-such as kissing children on the lips or sharing cups and food-were commonly reported, highlighting important knowledge gaps. This study demonstrates a substantial lack of awareness of CMV and cCMV among Jordanian women of childbearing age, regardless of pregnancy history. However, brief education markedly improved support for both prenatal and newborn CMV screening. These findings underscore the urgent need for comprehensive CMV education, increased public health messaging on CMV transmission, and consideration of policy measures to reduce cCMV risk in high‑prevalence populations.