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Salvage autologous fascial sling after failed anti-incontinence surgeries: Long term follow up.
Urol J. 2019 05 05; 16(2):193-197.UJ

Abstract

OBJECTIVE

To evaluate long term outcomes of autologous pubovaginal fascial sling (AFPVS) as a salvage procedure following different types of failed anti-incontinence surgeries.

MATERIALS AND METHODS

We retrospectively reviewed medical records of patients who had undergone salvage AFPVS after any kind of anti-incontinence surgery from 2005-2015 at our medical center. Patients were contacted by telephone. Revised Urinary Incontinence Scale (RUIS) was used to determine the success rate.

RESULTS

A total of 40 patients out of 51 were successfully contacted. Mean patient age was 50.8± 9.8 years (range30-75) and mean follow up was 62.6±32.4 months (range12-120). Of 40 patients, 14(35%) had pure SUI and 26(65%) complained of mixed urinary incontinence. A total of 15(37.5%) patients had a failed Burch colposuspention, 5(12.5%) TVT, 8(20%) TOT, 3 (7.5%) AFPVS and five (12.5%) patients had history of failed mini-sling procedure. Four (10%) patients had undergone more than one anti incontinence surgeries. Overall success rate was 65% in our study. New onset urge urinary incontinence was detected in 25% of patient which was negatively associated with satisfaction and recommendation. There was no statistically significant correlation between mixed urinary incontinence, type or number of previous failed surgeries with success however presence of pure SUI had a strongCOCLUSION: Autologous pubovaginal fascial sling might be considered as a safe and efficacious salvage surgical option following failed midurethral slings, Burch colposuspention and even AFPVS itself. It will provide reasonable long term results with no major complications.

Authors+Show Affiliations

Shahid Labbafi Nejad Medical Center, Urology and Nephrology Research Center (UNRC), Shahid Beheshti University of Medical Sciences, Tehran, Iran. f.sharifiaghdas@gmail.com.Nastaran Mahmoudnejad, Fellowship of Female urology, Shahid Labbafi Nejad Medical Center, Urology and Nephrology Research Center (UNRC), Shahid Beheshti University of Medical Sciences, Tehran, Iran.Shahid Labbafi Nejad Medical Center, Urology and Nephrology Research Center (UNRC), Shahid Beheshti University of Medical Sciences, Tehran, Iran.Shahid Labbafi Nejad Medical Center, Urology and Nephrology Research Center (UNRC), Shahid Beheshti University of Medical Sciences, Tehran, Iran.Shahid Labbafi Nejad Medical Center, Urology and Nephrology Research Center (UNRC), Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30471077

Citation

Sharifiaghdas, Farzaneh, et al. "Salvage Autologous Fascial Sling After Failed Anti-incontinence Surgeries: Long Term Follow Up." Urology Journal, vol. 16, no. 2, 2019, pp. 193-197.
Sharifiaghdas F, Mahmoudnejad N, Honarkar Ramezani M, et al. Salvage autologous fascial sling after failed anti-incontinence surgeries: Long term follow up. Urol J. 2019;16(2):193-197.
Sharifiaghdas, F., Mahmoudnejad, N., Honarkar Ramezani, M., Shemshaki, H. R., & Ameri, F. (2019). Salvage autologous fascial sling after failed anti-incontinence surgeries: Long term follow up. Urology Journal, 16(2), 193-197. https://doi.org/10.22037/uj.v0i0.3934
Sharifiaghdas F, et al. Salvage Autologous Fascial Sling After Failed Anti-incontinence Surgeries: Long Term Follow Up. Urol J. 2019 05 5;16(2):193-197. PubMed PMID: 30471077.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Salvage autologous fascial sling after failed anti-incontinence surgeries: Long term follow up. AU - Sharifiaghdas,Farzaneh, AU - Mahmoudnejad,Nastaran, AU - Honarkar Ramezani,Mehdi, AU - Shemshaki,Hamid Reza, AU - Ameri,Fatemeh, Y1 - 2019/05/05/ PY - 2018/11/25/pubmed PY - 2020/1/15/medline PY - 2018/11/25/entrez SP - 193 EP - 197 JF - Urology journal JO - Urol J VL - 16 IS - 2 N2 - OBJECTIVE: To evaluate long term outcomes of autologous pubovaginal fascial sling (AFPVS) as a salvage procedure following different types of failed anti-incontinence surgeries. MATERIALS AND METHODS: We retrospectively reviewed medical records of patients who had undergone salvage AFPVS after any kind of anti-incontinence surgery from 2005-2015 at our medical center. Patients were contacted by telephone. Revised Urinary Incontinence Scale (RUIS) was used to determine the success rate. RESULTS: A total of 40 patients out of 51 were successfully contacted. Mean patient age was 50.8± 9.8 years (range30-75) and mean follow up was 62.6±32.4 months (range12-120). Of 40 patients, 14(35%) had pure SUI and 26(65%) complained of mixed urinary incontinence. A total of 15(37.5%) patients had a failed Burch colposuspention, 5(12.5%) TVT, 8(20%) TOT, 3 (7.5%) AFPVS and five (12.5%) patients had history of failed mini-sling procedure. Four (10%) patients had undergone more than one anti incontinence surgeries. Overall success rate was 65% in our study. New onset urge urinary incontinence was detected in 25% of patient which was negatively associated with satisfaction and recommendation. There was no statistically significant correlation between mixed urinary incontinence, type or number of previous failed surgeries with success however presence of pure SUI had a strongCOCLUSION: Autologous pubovaginal fascial sling might be considered as a safe and efficacious salvage surgical option following failed midurethral slings, Burch colposuspention and even AFPVS itself. It will provide reasonable long term results with no major complications. SN - 1735-546X UR - https://www.unboundmedicine.com/medline/citation/30471077/Salvage_autologous_fascial_sling_after_failed_anti_incontinence_surgeries:_Long_term_follow_up_ L2 - http://journals.sbmu.ac.ir/urolj/index.php/uj/article/view/3934 DB - PRIME DP - Unbound Medicine ER -