Efficacy and Preoperative Prognostic Factors of Autologous Fascia Rectus Sling for Treatment of Female Stress Urinary Incontinence - 02/11/11
, Konstantinos Gyftopoulos b, Edward J. McGuire c
Reprint requests: Anastasios Athanasopoulos, Urodynamic Urology Unit, University of Patras Medical School, 38 Papadiamantopoulou Street, Patras 26225 GreeceRésumé |
Objective |
To evaluate the efficacy of the autologous fascia rectus sling in treating female stress urinary incontinence.
Methods |
A total of 264 patients treated during a 3-year period for SUI using the autologous fascia rectus sling were retrospectively reviewed. Efficacy was evaluated by the number of pads used daily. Patient satisfaction and correlations between the preoperative parameters and outcome were assessed.
Results |
The mean follow-up time was 27.8 months. Of the 264 patients, 224 (85%) were successfully treated and satisfied with the outcome of the operation. Of the 224 patients, 200 (75.8%) were totally dry and 24 (9.1%) had improved markedly. The complication rate was 29.2%, with postoperative urgency the most common problem (49 of 264, 18.5%). None of the preoperative parameters were associated with the final outcome.
Conclusion |
The free autologous rectus fascia sling is a highly effective technique for the treatment of female stress incontinence with mild morbidity.
Le texte complet de cet article est disponible en PDF.Plan
| Financial Disclosure: A. Athanasopoulos is, or has been, an investigator, lecturer, and consultant for pharmaceutical companies producing or developing drugs for lower urinary tract symptoms (Pfizer, Astellas, UCB, Lilly, Allergan, Bard, Amgen); K. Gyftopoulos, none; and E. McGuire has a financial interest and/or another relationship with Pfizer, Novartis, Astellas, Carbon Medical Technologies, Pharmacia, and Ortho-McNeil, and is the patent inventor for the McGuire ligature passer. |
Vol 78 - N° 5
P. 1034-1038 - novembre 2011 Retour au numéro
Article précédent
- The Relationship of Obesity and Gender Prevalence Changes in United States Inpatient Nephrolithiasis
- Sepehr Nowfar, Kerrin Palazzi-Churas, David C. Chang, Roger L. Sur
- Editorial Comment
- Ernst S.C. van Waalwijk van Doorn
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?