Document Type
Original Article
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 .
Keywords
Autologous; Sling; Transobturator
Subject Area
Urology
How to Cite This Article
Tagreda, Ibrahim Alaa-Eldin; Elasy, Ahmed Sedik; Salman, Mohamed Fawzy; and Mohamed, Hassan Ismael
(2023)
"Autologous Trans-obturator Rectus Fascia Sling for Treatment of Stress Urinary Incontinence in Women: Long-Term Outcomes,"
Al-Azhar International Medical Journal: Vol. 4:
Iss.
7, Article 3.
DOI: https://doi.org/10.58675/2682-339X.1917