PFD Week 2016-Autologous Suburethral Sling Using the Tensor Fascia Lata

Video Transcription

Video Summary

The video discusses stress urinary incontinence, which is involuntary urine leakage with physical activity. The primary cause is a loss of urethral support. Conservative management includes pelvic floor muscle training and pessaries. However, if these fail, a mid-urethral sling surgery is recommended. Studies have shown that autologous fascial slings can be effective for patients who have experienced mesh failure, with success rates of 70-91%. These slings have better outcomes compared to porcine slings and are comparable to mesh slings. However, the longer operating times and hospitalizations limit their use as a second-line treatment for those who have failed mesh slings. The video provides a case study of a patient who underwent autologous fascial sling surgery with positive results. Overall, autologous fascial slings are a viable option for women who have not responded well to previous slings.

Asset Subtitle

Meagan Cramer, MD

Meta Tag

Category Urinary Incontinence

Category Surgery - Incontinence Procedures

Concept Stress Urinary Incontinence

Concept Surgical Management

Concept Autologous Fascial Sling

Concept Pubovaginal Sling

Concept Pelvic Floor Weakness

Keywords

stress urinary incontinence

urethral support

autologous fascial slings

mesh failure

case study

Urinary Incontinence

Surgery - Incontinence Procedures

Stress Urinary Incontinence

Surgical Management

Autologous Fascial Sling

Pubovaginal Sling

Pelvic Floor Weakness