Autologous rectus abdominis fascia sling surgery following unsuccessful synthetic midurethral sling

Introduction We performed autologous rectus abdominis fascia sling surgery using Advantage™ following an unsuccessful synthetic midurethral sling. Case presentation At the age of 76 years, the patient experienced stress urinary incontinence recurrence. A 1‐h pad test resulted in 259 g of leakage. A...

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Bibliographic Details
Published in:IJU Case Reports
Main Authors: Yoshitaka Kurano, Nobutaka Shimizu, Rie Yoshimura, Ryohei Iga, Kaya Atagi, Tomoya Nao, Hideo Fukuhara, Satoshi Fukata, Shingo Ashida, Keiji Inoue
Format: Article
Language:English
Published: Wiley 2024-05-01
Subjects:
fascia
internal urethral sphincter
midurethral sling
rectus abdominis
urinary stress incontinence
Online Access:https://doi.org/10.1002/iju5.12719
Description
Summary:Introduction We performed autologous rectus abdominis fascia sling surgery using Advantage™ following an unsuccessful synthetic midurethral sling. Case presentation At the age of 76 years, the patient experienced stress urinary incontinence recurrence. A 1‐h pad test resulted in 259 g of leakage. A pressure flow study verified urine leakage while coughing and straining without detrusor overactivity. Abdominal leak point pressure was 10 cmH2O. Autologous rectus abdominis fascia sling surgery was performed using Advantage™. One month postoperatively, a 1‐h pad test resulted in 0 g of leakage. Conclusion We believe that this method will allow the fascia sling procedure to be performed reliably even if one is unfamiliar with conventional autologous rectus abdominis fascia sling surgery.
ISSN:2577-171X

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