Pubovaginal fascial sling for the treatment of all types of stress urinary incontinence

Surgical technique and long-term outcome

Jerry G. Blaivas, David Chaikin

Research output: Contribution to journalReview article

Abstract

The autologous fascial pubovaginal sling remains the gold standard against which other surgeries for treating sphincteric incontinence should be compared. The authors have demonstrated that this procedure can be performed in a reproducible fashion with minimal morbidity. Using validated objective, semiobjective, and subjective outcome instruments, cure-improve rates of more than 90% have been documented. Urinary retention that occurs after the procedure should be minimal, as the sling is not tied with excessive tension. Persistent and de novo urge incontinence remain vexing problems that the patient should be counseled about before surgery. Although the authors believe that in the future some form of synthetic or allograft sling will be shown to have equal or better efficacy and result in less morbidity, none has yet achieved that status.

Original languageEnglish (US)
Pages (from-to)165-175
Number of pages11
JournalAtlas of the Urologic Clinics of North America
Volume12
Issue number2
DOIs
StatePublished - Oct 1 2004
Externally publishedYes

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Stress Urinary Incontinence
Morbidity
Urge Urinary Incontinence
Urinary Retention
Allografts
Therapeutics

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Urology
  • Nephrology

Cite this

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title = "Pubovaginal fascial sling for the treatment of all types of stress urinary incontinence: Surgical technique and long-term outcome",
abstract = "The autologous fascial pubovaginal sling remains the gold standard against which other surgeries for treating sphincteric incontinence should be compared. The authors have demonstrated that this procedure can be performed in a reproducible fashion with minimal morbidity. Using validated objective, semiobjective, and subjective outcome instruments, cure-improve rates of more than 90{\%} have been documented. Urinary retention that occurs after the procedure should be minimal, as the sling is not tied with excessive tension. Persistent and de novo urge incontinence remain vexing problems that the patient should be counseled about before surgery. Although the authors believe that in the future some form of synthetic or allograft sling will be shown to have equal or better efficacy and result in less morbidity, none has yet achieved that status.",
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AB - The autologous fascial pubovaginal sling remains the gold standard against which other surgeries for treating sphincteric incontinence should be compared. The authors have demonstrated that this procedure can be performed in a reproducible fashion with minimal morbidity. Using validated objective, semiobjective, and subjective outcome instruments, cure-improve rates of more than 90% have been documented. Urinary retention that occurs after the procedure should be minimal, as the sling is not tied with excessive tension. Persistent and de novo urge incontinence remain vexing problems that the patient should be counseled about before surgery. Although the authors believe that in the future some form of synthetic or allograft sling will be shown to have equal or better efficacy and result in less morbidity, none has yet achieved that status.

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