The autologous fascia pubovaginal sling for complicated female

Authors

  • Blayne K. Welk Sunnybrook Hospital, Division of Urology, University of Toronto, Toronto, ON
  • Sender Herschorn Sunnybrook Hospital, Division of Urology, University of Toronto, Toronto, ON

DOI:

https://doi.org/10.5489/cuaj.327

Abstract

Introduction: The purpose of this study is to review our contemporary experience with autologous fascia pubovaginal slings (AF-PVS) in the era of the midurethral sling.

Methods: A retrospective review was completed to identify all
patients who underwent an AF-PVS between 2002 and 2009. A
cross-sectional questionnaire was used to assess postoperative urinary- specific quality of life (consisting of the Urogenital Distress Inventory [UDI-6] and the Incontinence Impact Questionnaires [IIQ-7]).

Results: We identified 33 patients. They had failed a median of
two previous incontinence treatments. Of these patients, 16 (48%) had failed a previous midurethral sling, and of these half had experienced a significant mesh erosion necessitating mesh removal. Preoperative median incontinence pad usage was 5/day. After a median follow-up of 16 months from the time of AF-PVS, the median pad usage had decreased to 1/day (p = 0.003). A third of the patients had postoperative urgency, and only 1 patient continues to use intermittent catheterization. The median IIQ-7 score was 19/100, and the median UDI-6 score was 44/100. Overall quality of life was mixed-to-delighted in 62% of patients.

Conclusions: The AF-PVS has reasonable outcomes in a diverse
population of patients, despite failure of other treatment modalities.

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Author Biographies

Blayne K. Welk, Sunnybrook Hospital, Division of Urology, University of Toronto, Toronto, ON

Sender Herschorn, Sunnybrook Hospital, Division of Urology, University of Toronto, Toronto, ON

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Published

2013-02-24

How to Cite

Welk, B. K., & Herschorn, S. (2013). The autologous fascia pubovaginal sling for complicated female. Canadian Urological Association Journal, 6(1), 36–40. https://doi.org/10.5489/cuaj.327

Issue

Vol. 6 No. 1 (2012): CUAJ February

Section

Original Research

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