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Outcomes of autologous fascial slingplasty procedure for treating female urinary incontinence

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Abstract

The aims of this study were to compare the pre- and postoperative urodynamic findings of the suburethral autologous rectus fascial sling procedure and to determine patient satisfaction with the procedure by telephone interviews. Eight-four female patients with urodynamic stress incontinence completed a multi-channel urodynamic study and pad test before and after the operation. Subjective and objective satisfaction were also recorded. Significant changes were noted in the stress maximal urethral closure pressure, pad test, voided volume, and peak flow rate (P < 0.05). The success rate was about 94%, and subjective satisfaction was about 72%. The most common complication was transient urinary tract infections. The suburethral sling resolved 50% of detrusor overactivity (DO), but de novo DO was 24%. The procedure combined with anterior colporrhaphy corrected or improved 97% of anterior vaginal wall prolapses (≥stage II). This retrospective study demonstrates that suburethral autologous facial slingplasty has a high cure rate, high patient satisfaction, and is a less complicated procedure. It can also correct and prevent a recurrence of anterior vaginal wall prolapse when combined with anterior colporrhaphy.

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Authors and Affiliations

  1. Obstetrics and Gynecology, Cheng Ching Hospital, Taichung, Taiwan, Republic of China

    Kwong-Pang Tsui & Pao-Chun Hsieh

  2. Obstetrics and Gynecology, Chung Shan Medical University Hospital, Taichung, Taiwan, Republic of China

    Soo-Cheen Ng, Long-Yau Lin & Gin-Den Chen

  3. Obstetrics and Gynecology, Changhua Christian Hospital, Changhua, Taiwan, Republic of China

    Guang-Perng Yeh

Authors
  1. Kwong-Pang Tsui
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  2. Soo-Cheen Ng
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  3. Guang-Perng Yeh
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  4. Pao-Chun Hsieh
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  5. Long-Yau Lin
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  6. Gin-Den Chen
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Correspondence to Gin-Den Chen.

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Tsui, KP., Ng, SC., Yeh, GP. et al. Outcomes of autologous fascial slingplasty procedure for treating female urinary incontinence. Int Urogynecol J 19, 949–954 (2008). https://doi.org/10.1007/s00192-008-0569-z

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  • DOI: https://doi.org/10.1007/s00192-008-0569-z

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