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 journalReview articlepeer-review

17 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 languageEnglish
Pages (from-to)41-52
Number of pages12
JournalUrologic Clinics of North America
Volume46
Issue number1
DOIs
StatePublished - Feb 2019

Keywords

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

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