The autologous pubovaginal fascial sling: An update in 2019. Issue 1 (13th August 2019)

• Record Type: Journal Article
• Authors: Plagakis, Sophie; Tse, Vincent
• Is Part Of: LUTS. Volume 12:Issue 1(2020)
• Page Start: 2
• Page End: 7
• Publication Date: 2019-08-13
• Subjects: autologous -- detrusor underactivity -- fascial -- pubovaginal -- sling -- stress urinary incontinence; Urology -- Periodicals; Urologic Diseases -- Periodicals; Urinary Tract Physiological Phenomena -- Periodicals; 616.62
• DOI: 10.1111/luts.12281
• Languages: English
• ISSNs: 1757-5664

Abstract

Abstract: The contemporary management of stress urinary incontinence (SUI) has seen renewed interest in the use of autologous fascia for the formation of a retropubic suburethral sling. Traditionally, it has been used in only the most severe of incontinence cases, such as those women with intrinsic sphincter deficiency, or in patients requiring concomitant reconstructive procedures. In the current climate surrounding transvaginal mesh, many doctors and patients are shying away from the less morbid synthetic midurethral sling. International literature has demonstrated that the fascial sling is a safe and efficacious procedure for all patients with SUI, adequately treating both urethral hypermobility and intrinsic sphincter deficiency. This paper will discuss the indications, technique, and outcomes of autologous fascial slings. We will explore the use of fascial slings following failed synthetic slings and also the troubleshooting of commonly encountered issues intra‐ and postoperatively.