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Cadaveric fascia lata versus intravaginal slingplasty for the pubovaginal sling: surgical outcome, overall success and patient satisfaction rates.
Urol Int. 2008; 80(1):46-51.UI

Abstract

BACKGROUND

A wide variety of surgical procedures has been used to treat female stress urinary incontinence (SUI). The purpose of this study was to compare cadaveric fascia lata (CFL) sling with intravaginal slingplasty (IVS) in the surgical treatment of SUI.

METHODS

One hundred and thirty-nine women with SUI were randomly assigned to either CFL sling (n = 67) or IVS (n = 72). Concomitant urinary urge incontinence was present in 49 patients (73%) in the CFL sling and 44 patients (61%) in the IVS group. Daily mean pad usage was 4.1 +/- 3.5 in the CFL sling and 2.9 +/- 1.7 in the IVS group. The objective cure rate was evaluated by the pad test, and patient satisfaction rate was assessed by a subjective questionnaire.

RESULTS

The surgical results of both procedures with a follow-up 12 months were documented. The overall success rate was 79% in the CFL sling and 70.8% in the IVS (p = 0.261). In contrast patient satisfaction rates were 82 and 87.5%, respectively (p = 0.210). Comparison of the CFL sling with IVS showed persistent urinary urge incontinence in 67 and 25% (p = 0.0001) and de novo urinary urge incontinence in 22 and 6.9%, respectively (p = 0.009). The groups did not differ significantly with respect to intraoperative and postoperative complications.

CONCLUSIONS

There is no statistical difference in the overall success, satisfaction and complication rates in either group. In our series, both procedures were found to be effective, durable and significantly improved quality of life in patients with SUI but long-term results are awaited.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Basok EK
Department of Urology, SB Istanbul Goztepe Training and Research Hospital, Istanbul, Turkey. ebasok@yahoo.com
Yildirim A
No affiliation info available
Atsu N
No affiliation info available
Basaran A
No affiliation info available
Tokuc R
No affiliation info available

MeSH

AdultFascia LataFemaleHumansMiddle AgedModels, StatisticalPatient SatisfactionSuburethral SlingsTime FactorsTreatment OutcomeUrinary Incontinence, StressUrodynamicsUrologic Surgical Procedures

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

18204233

Citation

Basok, Erem Kaan, et al. "Cadaveric Fascia Lata Versus Intravaginal Slingplasty for the Pubovaginal Sling: Surgical Outcome, Overall Success and Patient Satisfaction Rates." Urologia Internationalis, vol. 80, no. 1, 2008, pp. 46-51.
Basok EK, Yildirim A, Atsu N, et al. Cadaveric fascia lata versus intravaginal slingplasty for the pubovaginal sling: surgical outcome, overall success and patient satisfaction rates. Urol Int. 2008;80(1):46-51.
Basok, E. K., Yildirim, A., Atsu, N., Basaran, A., & Tokuc, R. (2008). Cadaveric fascia lata versus intravaginal slingplasty for the pubovaginal sling: surgical outcome, overall success and patient satisfaction rates. Urologia Internationalis, 80(1), 46-51. https://doi.org/10.1159/000111729
Basok EK, et al. Cadaveric Fascia Lata Versus Intravaginal Slingplasty for the Pubovaginal Sling: Surgical Outcome, Overall Success and Patient Satisfaction Rates. Urol Int. 2008;80(1):46-51. PubMed PMID: 18204233.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cadaveric fascia lata versus intravaginal slingplasty for the pubovaginal sling: surgical outcome, overall success and patient satisfaction rates. AU - Basok,Erem Kaan, AU - Yildirim,Asif, AU - Atsu,Necmettin, AU - Basaran,Adnan, AU - Tokuc,Resit, Y1 - 2008/01/18/ PY - 2006/06/29/received PY - 2006/10/11/accepted PY - 2008/1/22/pubmed PY - 2008/6/5/medline PY - 2008/1/22/entrez SP - 46 EP - 51 JF - Urologia internationalis JO - Urol Int VL - 80 IS - 1 N2 - BACKGROUND: A wide variety of surgical procedures has been used to treat female stress urinary incontinence (SUI). The purpose of this study was to compare cadaveric fascia lata (CFL) sling with intravaginal slingplasty (IVS) in the surgical treatment of SUI. METHODS: One hundred and thirty-nine women with SUI were randomly assigned to either CFL sling (n = 67) or IVS (n = 72). Concomitant urinary urge incontinence was present in 49 patients (73%) in the CFL sling and 44 patients (61%) in the IVS group. Daily mean pad usage was 4.1 +/- 3.5 in the CFL sling and 2.9 +/- 1.7 in the IVS group. The objective cure rate was evaluated by the pad test, and patient satisfaction rate was assessed by a subjective questionnaire. RESULTS: The surgical results of both procedures with a follow-up 12 months were documented. The overall success rate was 79% in the CFL sling and 70.8% in the IVS (p = 0.261). In contrast patient satisfaction rates were 82 and 87.5%, respectively (p = 0.210). Comparison of the CFL sling with IVS showed persistent urinary urge incontinence in 67 and 25% (p = 0.0001) and de novo urinary urge incontinence in 22 and 6.9%, respectively (p = 0.009). The groups did not differ significantly with respect to intraoperative and postoperative complications. CONCLUSIONS: There is no statistical difference in the overall success, satisfaction and complication rates in either group. In our series, both procedures were found to be effective, durable and significantly improved quality of life in patients with SUI but long-term results are awaited. SN - 1423-0399 UR - https://www.unboundmedicine.com/medline/citation/18204233/Cadaveric_fascia_lata_versus_intravaginal_slingplasty_for_the_pubovaginal_sling:_surgical_outcome_overall_success_and_patient_satisfaction_rates_ DB - PRIME DP - Unbound Medicine ER -