Autologous Transobturator Urethral Sling Placement for Female Stress Urinary Incontinence

Linder, Brian J.; Elliott, Daniel S.

doi:10.1016/j.juro.2014.08.125

Cited by 20 publications

(21 citation statements)

References 25 publications

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“…They recommended longer follow-up and larger series to validate this procedure which may become a suitable option for patients and surgeons concerned with potential mesh complications. 13 In contrary to results of this study Webster et al reported a case of a 73 years old woman who underwent a pubovaginal sling using autologous rectus fascia for treatment of stress urinary incontinence (SUI). She developed urethral erosion following 2 weeks of clean intermittent catheterization (CIC).…”

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confidence: 65%

“…Linder et al stated that autologous transobturator urethral sling placement appeared to be technically feasible with excellent shortterm outcomes, but longer follow up and larger series are needed for validation. 13 The autologous fascial pubovaginal sling was considered as a salvage procedure for recurrent stress incontinence after mesh erosion/exposure and/or bladder outlet obstruction in patients treated with prior transvaginal synthetic mesh for stress urinary incontinence. [14][15][16] In this study, we are going to compare between tensionfree trans obturator vaginal tape (TVT-O) using synthetic polypropylene macro porous monofilament mesh and autologous rectus fascia trans obturator vaginal sling as treatment modalities of female stress urinary incontinence.…”

Section: Introductionmentioning

confidence: 99%

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Tension-free transobturator vaginal tape and autologous rectus fascia transobturator vaginal sling for the treatment of urinary stress incontinence: a prospective clinical study

Elsersy

2017

Int J Reprod Contracept Obstet Gynecol

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Original Research ArticleTension-free transobturator vaginal tape and autologous rectus fascia transobturator vaginal sling for the treatment of urinary stress incontinence: a prospective clinical study Mervat A. Elsersy* INTRODUCTIONStress urinary incontinence (SUI) is a common disorder affecting adult females due to weak mechanisms of urethral closure. 1,2 Behavioral changes and pelvic floor muscle training are considered conservative nonsurgical options for treatment. [3][4][5] Tension-free vaginal tape has become a popular method for surgical treatment of urodynamically proven stress incontinence (USI), since it was introduced by Ulmsten in 1995. The retro pubic approach of tension-free vaginal tape (RT-TVT) procedure was widely accepted worldwide as the standard surgical treatment for SUI. 6 Tension free vaginal sling procedures had achieved good long-term success together with lower complication rates; but they had some failure rate due to either excessive or failure to achieve the desired tension, which resulted in voiding difficulties or urinary leakage persistence, respectively. 7Transobturator route (TVT-O) was considered as the second-generation, utilizing either outside-in or inside-out approaches, so avoiding the passage into the retro pubic ABSTRACT Background: A large proportion of adult women complain of urinary incontinence, which has considerable drawbacks on their quality of life and social incorporation in the community. Conservative measures had been tried for several decades but with limited efficacy in huge proportion of patients. Vaginal sling procedures, since it was introduced in medical field had achieved good success rates with low complication rates. However, they still cause problems. Since Ulmsten introduced the tension-free vaginal tape in 1995, it has become a popular method for surgical treatment of urodynamically proven USI. In this study, we are going to compare between tension-free Trans obturator vaginal tape (TVT-O) using synthetic polypropylene macro porous monofilament mesh and autologous rectus fascia Trans obturator sling. Methods: 80 patients had stress urinary incontinence were randomly assigned to either group (1) who underwent insertion of synthetic tension free vaginal tape using (Aris-Transobturator Sling System) or group to (2) to whom autologous rectus fascia transobturator vaginal sling was applied. Results: Objective and subjective cure rates were comparable in both groups, but patients in group (1) had shorter operative time and less duration of post-operative catheterization. Patients in group (1) were statistically more satisfied than patients in group (2). Conclusions: Both techniques are effective in the treatment of female stress incontinence.

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confidence: 65%

Section: Introductionmentioning

confidence: 99%

Tension-free transobturator vaginal tape and autologous rectus fascia transobturator vaginal sling for the treatment of urinary stress incontinence: a prospective clinical study

Elsersy

2017

Int J Reprod Contracept Obstet Gynecol

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“…The procedure was done on an outpatient basis with no complications, achieving spontaneous urination without post‐void residual or leakage. They subsequently reported a preliminary study of 10 cases of autologous transobturator sling placement to evaluate short‐term and medium‐term results . At a mean follow‐up of 4 months, all women showed a significant decrease in urine leakage; and at 3 months, they showed a significant improvement in frequency ( P =0.006), voiding ( P =0.04), and incontinence ( P =0.002) subscores of the ICIQ‐FLUTS.…”

Section: Discussionmentioning

confidence: 99%

Autologous transobturator sling as an alternative therapy for stress urinary incontinence

Laufer

Scasso

Bentancor

et al. 2019

Intl J Gynecology & Obste

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Objective To evaluate efficacy and outcomes of the autologous transobturator midurethral sling for treatment of stress urinary incontinence (SUI). Methods In a prospective cohort study, an autologous transobturator mid‐urethral sling was used to treat SUI among women attending a university hospital in Montevideo, Uruguay, from June 2017 to July 2018. In the first phase, autologous tissue of the abdominis rectus fascia was collected. In the second phase, the midurethral sling was placed via the transobturator approach. Outcomes were measured every 3 months by the International Consultation on Incontinence Questionnaire Female Lower Urinary Tract Symptoms (ICIQ‐FLUTS) Score. Preoperative and postoperative results were compared by Wilcoxon test. Results Eighteen women with a median age of 51 years were enrolled. The median follow‐up was 9 months (range 6–15 months). Overall, 17 women showed symptomatic improvement after the procedure. In a comparison of preoperative versus postoperative ICIQ‐FLUTS questionnaires, improvement in the incontinence subscore was observed at 3 (P<0.001), 6 (P<0.001), and 12 (P=0.008) months. No severe complications were observed. Conclusion Use of an autologous transobturator urethral sling was found to be technically feasible and safe for SUI, with good short‐term outcomes. Longer follow up and larger series are needed to validate the procedure.

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“…For their technique Linder and Elliott (page 991) from Rochester, Minnesota harvest a strip of rectus fascia, place it beneath the urethra through the obturator fossa and secure it to the obturator fascia bilaterally. 1 In this feasibility study followup was only 4 months in 10 patients treated for stress incontinence. Outcome measures included a 24-hour pad test as well as ICIQ (International Consultation on Incontinence Modular Questionnaire) scores.…”

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confidence: 91%

This Month in Adult Urology

Steers¹

2015

Journal of Urology

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Autologous Transobturator Urethral Sling Placement for Female Stress Urinary Incontinence

Abstract: Autologous transobturator urethral sling placement appears to be technically feasible with excellent short-term outcomes. Longer followup and larger series are needed for validation.

Cited by 20 publications

References 25 publications

Tension-free transobturator vaginal tape and autologous rectus fascia transobturator vaginal sling for the treatment of urinary stress incontinence: a prospective clinical study

Tension-free transobturator vaginal tape and autologous rectus fascia transobturator vaginal sling for the treatment of urinary stress incontinence: a prospective clinical study

Autologous transobturator sling as an alternative therapy for stress urinary incontinence

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