Surgery for Stress Urinary Incontinence Autologous Fascial Sling

Blaivas J. G., Simma-Chiang V., Gul Z., Dayan L., KALKAN S., Daniel M.

UROLOGIC CLINICS OF NORTH AMERICA, vol.46, no.1, pp.41-54, 2019 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 46 Issue: 1
  • Publication Date: 2019
  • Doi Number: 10.1016/j.ucl.2018.08.014
  • Journal Name: UROLOGIC CLINICS OF NORTH AMERICA
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.41-54
  • Keywords: Pubovaginal sling, Fascial sling, Autologous pubovaginal sling, Synthetic midurethral sling, Stress urinary incontinence, Safety, Efficacy, Operative technique, FREE VAGINAL TAPE, QUALITY-OF-LIFE, MID-URETHRAL SLINGS, LONG-TERM OUTCOMES, PUBOVAGINAL SLINGS, RECTUS FASCIA, FOLLOW-UP, MIDURETHRAL SLINGS, CONTINENCE RATES, CADAVERIC FASCIA
  • Bezmialem Vakıf University Affiliated: Yes

Abstract

This article describes the operative technique of autologous fascial pubovaginal sling (AFPVS) surgery, examines the senior author's outcomes with AFPVS, compares these outcomes with those of other large studies and meta-analyses, and compares the safety and efficacy of AFPVS with those of the synthetic midurethral sling (SMUS). Recently, the SMUS has become the treatment of choice for most surgeons. The efficacy of the SMUS remains unchallenged and comparable with that of AFPVS, but SMUS are associated with more severe complications. In the author's opinion, the AFPVS should remain the gold standard for treating SUI.