AI Article Synopsis
- This study aimed to evaluate the long-term effects of a modified surgical procedure called autologous fascial pubovaginal sling (AFPVS) for treating stress urinary incontinence in women.
- The research reviewed records of women operated on between 2004 and 2015, finding an overall success rate of 83.9% after a mean follow-up of about 9 years, with a slight variation based on prior surgery history.
- The findings suggest that modified AFPVS is effective and safe, with few complications, and its popularity may increase as concerns grow over synthetic mesh surgeries.
Article Abstract
Purpose: To evaluate long-term outcomes of modified autologous fascial pubovaginal sling (AFPVS) in women with stress urinary incontinence (SUI).
Methods: To evaluate long-term outcomes of modified AFPVS, we retrospectively reviewed the medical records of our patients from 2004 to 2015. From 2 decades ago, we have made modifications to classic surgical technique to make it simpler and faster.
Results: 199 patients were contacted with mean age of 52 years. The mean follow-up period was 107 months. According to Revised Urinary Incontinence Scale (RUIS) questionnaire, overall success rate was 83.9%. In patients with positive history for SUI surgery, success rate was 73% compared to 87% in those without it. Body mass index was negatively associated with cure rate. We did not encounter any major complications and most of the issues were managed conservatively. Recurrence of SUI occurred in 6 patients (3.5%) after initial improvement.
Conclusion: Modified AFPVS is an effective surgical technique for treatment of SUI with high and durable success rate. At the present time with concerns regarding the use of transvaginal synthetic mesh, there is increasing interest and request for modified traditional procedures. It is likely that AFPVS may become more popular in upcoming years.
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| http://dx.doi.org/10.1007/s11255-022-03404-0 | DOI Listing |
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