Autologous Trans-obturator Rectus Fascia Sling for Treatment of Stress Urinary Incontinence in Women: Long-Term Outcomes

Authors

1 Urology department, Faculty of Medicine, Al-Azhar University (Cairo), Egypt.

2 Urology department, Faculty of Medicine, Al-Azhar University (Cairo), Egypt

Abstract

Background: treatment of stress urinary incontinence (SUI ) via autologus trans-obturator rectus fascia sling was first described by Linder and Elliott in 2014. However the long term efficacy of thesis technique have been rarely addressed. The aim of the study: To assess the long-term results of the therapy of female SUI using an autologous transobturat (ATO) rectus fascia sling. Patients and methods: The study included all female patients who underwent ATO rectus fascia sling for SUI treatment at Al-Azhar University Hospitals, Cairo, Egypt. between 2017 & 2021. Patients with complete medical records and at least one year post operative follow up were included. Results: Only 48 patients out of 57 who completed follow-up were included, with a mean age of 47± (9.81), with a mean BMI of 27.86± (3.09). The mean follow-up period is 36± (3.04) months. The International Consultation Incontinence Questionnaire Female Lower Urinary Tract Symptoms Score (ICIQ-FLUTS), bother scale, and filling and incontinence subscales improved significantly at 1 and 5 years, with a p-value of Conclusion: The 5 years follow up of patients with SUI who underwent ATO fascia sling fixation show significant improvement in the subjective & objective criteria. The durability of the success and the absence of bothersome complication put this procedure on the frontline of treating such patients .

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