567 PATIENTS WITH COMPLEX STRESS URINARY INCONTINENCE ARE SATISFIED WITH LONG-TERM OUTCOMES FOLLOWING AUTOLOGOUS FASCIAL SLING SURGERY

Abstract

You have accessJournal of UrologyUrodynmaics/Incontinence/Female Urology: Incontinence, Evaluation & Therapy (I)1 Apr 2013567 PATIENTS WITH COMPLEX STRESS URINARY INCONTINENCE ARE SATISFIED WITH LONG-TERM OUTCOMES FOLLOWING AUTOLOGOUS FASCIAL SLING SURGERY Bhavin Patel, Jason Kim, Jay Choe, Una Lee, Alvaro Lucioni, and Kathleen Kobashi Bhavin PatelBhavin Patel Seattle, WA More articles by this author , Jason KimJason Kim Stony Brook, NY More articles by this author , Jay ChoeJay Choe Seattle, WA More articles by this author , Una LeeUna Lee Seattle, WA More articles by this author , Alvaro LucioniAlvaro Lucioni Seattle, WA More articles by this author , and Kathleen KobashiKathleen Kobashi Seattle, WA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.1963AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Patients with persistent or recurrent stress urinary incontinence (SUI) after previous anti-incontinence procedures can be a challenging group of patients to treat. A variety of different surgical treatments are employed in these patients, including autologous fascial slings. The objective of this study was to evaluate the long-term patient-reported outcomes of autologous fascial slings in patients with complex SUI, as defined as those with at least one previous anti-incontinence surgery. METHODS A cross-sectional analysis was performed on a prospective database of all female pelvic floor patients seen at our institution from 1999 to 2010. All patients that had received an autologous rectus fascial sling and had a history of at least one previous anti-incontinence procedure were selected. RESULTS 68 patients met our inclusion criteria. Of these, follow up data was available on 48 patients. Each patient had an average of 2.1 (range 1-6) previous anti-incontinence procedures. Their average VLPP was 32 cm of H2O. At an average follow-up of 6.1 years (range 2-11 years), the dry and success rates in this set of complex patients were 14.6% and 70.8%, respectively. The median satisfaction score was 80% (0 û 100%). There were no predictors of a dry or a successful outcome. CONCLUSIONS Despite having a low long-term dry rate, acceptable success and satisfaction scores after autologous fascial slings in patients with complex SUI make it one of the few viable treatment options. The data presented here can be used to counsel complex patients regarding outcomes after autologous fascial slings. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e233 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Bhavin Patel Seattle, WA More articles by this author Jason Kim Stony Brook, NY More articles by this author Jay Choe Seattle, WA More articles by this author Una Lee Seattle, WA More articles by this author Alvaro Lucioni Seattle, WA More articles by this author Kathleen Kobashi Seattle, WA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...