The fascia lata suburethral sling for treating recurrent urinary stress incontinence

J. M. Breen, B. E. Geer, G. E. May, C. R. Wheeless

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

OBJECTIVE: The purpose of this study was to evaluate the effectiveness of the fascia lata suburethral sling procedure in the treatment of recurrent genuine urinary stress incontinence. STUDY DESIGN: This study was a retrospective analysis of 60 patients who had a suburethral fascia lata sling placement between January 1992 and December 1995. Follow-up ranged from 6 months to 3.5 years. The database was obtained by a retrospective chart review, a written questionnaire, and telephone interview. RESULTS: Between January 1992 and December 1995, 72 patients who had at least one previous incontinence procedure were assesses by urodynamic testing and cystourethroscopic examination before undergoing a fascia lata sling placement. Of this population, 60 were available for follow-up. Of this 60, 54, or 90%, had complete cure or marked improvement in the urinary incontinence. There were six failures, two of which had no bladder neck mobility and two of which had detrusor instability and were unable to take medication because of medical contraindications. In addition, two slings were sacrificed because of postoperative complications. The most common postoperative complication was urinary retention, which resulted in eight, or 13.4%, of slings needing to be released. CONCLUSION: Our data support the use of the suburethral fascia lata sling as an effective method for the treatment of recurrent genuine urinary stress incontinence, with urinary retention being the most common postoperative complication.

Original languageEnglish (US)
Pages (from-to)1363-1366
Number of pages4
JournalAmerican journal of obstetrics and gynecology
Volume177
Issue number6
DOIs
StatePublished - 1997
Externally publishedYes

Keywords

  • Fascia lata sling
  • Recurrent stress incontinence

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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