Surgery for Stress Urinary Incontinence: Autologous Fascial Sling

Jerry G. Blaivas; Vannita Simma-Chiang; Zeynep Gul; Linda Dayan; Senad Kalkan; Melissa Daniel

doi:10.1016/j.ucl.2018.08.014

Surgery for Stress Urinary Incontinence: Autologous Fascial Sling

Jerry G. Blaivas, Vannita Simma-Chiang, Zeynep Gul, Linda Dayan, Senad Kalkan, Melissa Daniel

Research output: Contribution to journal › Review article › peer-review

18 Scopus citations

Abstract

This article describes the operative technique of autologous fascial pubovaginal sling (AFPVS) surgery, examines the senior author's outcomes with AFPVS, compares these outcomes with those of other large studies and meta-analyses, and compares the safety and efficacy of AFPVS with those of the synthetic midurethral sling (SMUS). Recently, the SMUS has become the treatment of choice for most surgeons. The efficacy of the SMUS remains unchallenged and comparable with that of AFPVS, but SMUS are associated with more severe complications. In the author's opinion, the AFPVS should remain the gold standard for treating SUI.

Original language	English
Pages (from-to)	41-52
Number of pages	12
Journal	Urologic Clinics of North America
Volume	46
Issue number	1
DOIs	https://doi.org/10.1016/j.ucl.2018.08.014
State	Published - Feb 2019

Keywords

Autologous pubovaginal sling
Efficacy
Fascial sling
Operative technique
Pubovaginal sling
Safety
Stress urinary incontinence
Synthetic midurethral sling

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10.1016/j.ucl.2018.08.014

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title = "Surgery for Stress Urinary Incontinence: Autologous Fascial Sling",

abstract = "This article describes the operative technique of autologous fascial pubovaginal sling (AFPVS) surgery, examines the senior author's outcomes with AFPVS, compares these outcomes with those of other large studies and meta-analyses, and compares the safety and efficacy of AFPVS with those of the synthetic midurethral sling (SMUS). Recently, the SMUS has become the treatment of choice for most surgeons. The efficacy of the SMUS remains unchallenged and comparable with that of AFPVS, but SMUS are associated with more severe complications. In the author's opinion, the AFPVS should remain the gold standard for treating SUI.",

keywords = "Autologous pubovaginal sling, Efficacy, Fascial sling, Operative technique, Pubovaginal sling, Safety, Stress urinary incontinence, Synthetic midurethral sling",

author = "Blaivas, {Jerry G.} and Vannita Simma-Chiang and Zeynep Gul and Linda Dayan and Senad Kalkan and Melissa Daniel",

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T2 - Autologous Fascial Sling

AU - Blaivas, Jerry G.

AU - Simma-Chiang, Vannita

AU - Gul, Zeynep

AU - Dayan, Linda

AU - Kalkan, Senad

AU - Daniel, Melissa

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AB - This article describes the operative technique of autologous fascial pubovaginal sling (AFPVS) surgery, examines the senior author's outcomes with AFPVS, compares these outcomes with those of other large studies and meta-analyses, and compares the safety and efficacy of AFPVS with those of the synthetic midurethral sling (SMUS). Recently, the SMUS has become the treatment of choice for most surgeons. The efficacy of the SMUS remains unchallenged and comparable with that of AFPVS, but SMUS are associated with more severe complications. In the author's opinion, the AFPVS should remain the gold standard for treating SUI.

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KW - Fascial sling

KW - Operative technique

KW - Pubovaginal sling

KW - Safety

KW - Stress urinary incontinence

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Surgery for Stress Urinary Incontinence: Autologous Fascial Sling

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