TY - JOUR T1 - Comparing the vaginal wall sling with autologous rectus fascia and polypropylene sling: Short term outcomes and patient satisfaction. AU - Wagner,Hillary, AU - Cheng,Julie W, AU - Austin Krishingner,G, AU - Kim,Kevin, AU - Chung,Kristin M, AU - Kelly,Isaac, AU - Staack,Andrea, Y1 - 2018/10/11/ PY - 2018/05/22/received PY - 2018/08/26/revised PY - 2018/10/02/accepted PY - 2018/10/20/pubmed PY - 2019/3/26/medline PY - 2018/10/20/entrez KW - Autologous slings KW - Stress urinary incontinence KW - Synthetic slings KW - Urethral slings SP - 98 EP - 103 JF - European journal of obstetrics, gynecology, and reproductive biology JO - Eur J Obstet Gynecol Reprod Biol VL - 231 N2 - OBJECTIVES: Many women are affected by stress urinary incontinence (SUI). Due to investigations of the safety of synthetic mesh slings, there has been renewed interest in autologous slings. The aim of this study is to evaluate whether different sling material affects outcomes and patient satisfaction. METHODS: A retrospective review was performed of patients who underwent sling placement between May 2011 and April 2017 for SUI or stress-predominant mixed urinary incontinence. Patients were divided based on the sling material used: vaginal wall sling (VWS), rectus fascia sling (RFS), and soft polypropylene sling (SPS). Outcomes were compared using a Likert scale, the validated SEAPI score system, Incontinence Impact Questionnaire 7 (IIQ-7), and Incontinence Symptom Severity Index (ISSI). RESULTS: There were 228 patients that underwent sling placement with 94 receiving VWS, 62 RFS, and 72 SPS. Mean follow-up was 14 months. There was no statistical difference in postoperative pad usage or satisfaction score between the groups. All three groups had a statistically significant postoperative improvement in subjective SEAPI scores and daily pad use. The VWS and RFS groups had significant improvement in their ISSI. The VWS group also had postoperative improvement in IIQ-7 score. Complication rates were rare and similar between all three groups. CONCLUSIONS: Patient satisfaction and outcomes were overall similar between all three sling materials. Based on our outcomes, we continue to use the VWS as a treatment option for patients with SUI and redundant vaginal wall tissue that are opposed to synthetic mesh slings. SN - 1872-7654 UR - https://www.unboundmedicine.com/medline/citation/30340120/Comparing_the_vaginal_wall_sling_with_autologous_rectus_fascia_and_polypropylene_sling:_Short_term_outcomes_and_patient_satisfaction_ DB - PRIME DP - Unbound Medicine ER -