Long-term outcomes of autologous fascia lata sling for stress incontinence secondary to intrinsic sphincter deficiency in women

Dominic Lee, Feras Alhalabi, Philippe E. Zimmern

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Objective: To report our long-term pubovaginal sling (PVS) outcomes using fascia lata for stress urinary incontinence (SUI) secondary to intrinsic sphincteric deficiency (ISD). Methodology and methods: Following Institute Review Board approval, charts from women undergoing PVS with fascia lata, with at least 6 months of follow up, were reviewed. Preoperative and postoperative data collected included demographics, validated questionnaires, prior anti-incontinence procedures, associated repairs, urodynamic findings, and reoperation procedures for SUI. Success was defined as cure of SUI (no pad, UDI-6 Question 3 related to SUI at ≤ 1, and no SUI reoperation). Results: Between 1997 and 2013, 22 women met the inclusion criteria with mean age of 73 (52-88) years, mean BMI 29 (17-38) and mean parity 2.7 (1-4). Mean follow up was 96 months (8-190). Indication for fascia lata sling included obesity (13) and prior abdominal procedures (9), including abdominoplasty. Fifteen women had received one or more prior antiincontinence procedures and five a prior injectable agent. No perioperative complications were noted. Overall, 14 of 22 women met success criteria [UDI-6 Question 3 at 0 (10) and at 1 (4)]. Three women underwent a subsequent procedure for residual SUI with periurethral bulking agent and one is awaiting an artificial urinary sphincter. Conclusion: At long-term follow-up of over 8 years after fascia lata sling, women who underwent fascia lata sling had acceptable continence outcomes with minimal complications.

Original languageEnglish (US)
JournalUrological Science
DOIs
StateAccepted/In press - Sep 8 2016

Keywords

  • Fascia lata
  • Functional outcomes
  • Intrinsic sphincter deficiency
  • Long term
  • Pubovaginal slings

ASJC Scopus subject areas

  • Urology

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