ArticleInternational urology and nephrology2012
Treating stress urinary incontinence in female patients with neuropathic bladder: the value of the autologous fascia rectus sling.
Article in International urology and nephrology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Synthetic mid-urethral slings for the treatment of stress urinary incontinence in women with neurogenic lower urinary tract dysfunction: a systematic review.International urogynecology journal · 2022Pooled it
- Current Surgical Treatment for Neurogenic Lower Urinary Tract Dysfunction in Patients with Chronic Spinal Cord Injury.Journal of clinical medicine · 2023Article
- Management of stress urinary incontinence in female patients with spinal cord injury by autologous fascial sling: time for a revival?Spinal cord series and cases · 2022Article
- Autologous fascial slings for stress urinary incontinence in patients with neuropathic bladder.Spinal cord series and cases · 2022Article
- Knowledge Gaps in Urologic Care of Female Spinal Cord Injury Patients.Current urology reports · 2019Review
- Management options for sphincteric deficiency in adults with neurogenic bladder.Translational andrology and urology · 2016Review
- Midurethral slings versus the standard pubovaginal slings for women with neurogenic stress urinary incontinence.International urogynecology journal · 2015Article
- Neurogenic bladder - concepts and treatment recommendations.International braz j urol : official journal of the Brazilian Society of UrologyReview
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
OBJECTIVE/
backgroundThe aim of this study was to evaluate the efficacy of the autologous fascia rectus sling in treating stress urinary incontinence in female patients with neuropathic bladder. Furthermore, correlations between preoperative parameters and outcome were evaluated. METHODS AND
designWe retrospectively reviewed operative logs from a single surgeon (EM) of 33 female patients with neuropathic bladder treated over a 3-year period for stress urinary incontinence by implantation of an autologous fascia rectus sling. Efficacy was evaluated objectively in terms of the number of pads used per day, while subjective patient satisfaction was also recorded using a global assessment question. Possible correlations between age, obesity, preoperative Valsalva leak point pressure and incontinence severity and outcome were investigated using univariate analysis. OUTCOME MEASURES AND
resultsThe mean follow-up time was 52 months, while the mean age of the patients was 37 years. Causes of neuropathic bladder were myelomeningocele in 21 (63.63 %) and spinal cord injury in 12 patients (36.36 %). A total of 30 patients were successfully treated and satisfied with the outcome of the operation (90.9 %). Twenty-five patients (75.75 %) were totally dry, while 5 patients (15.15 %) had markedly improved but still required one pad per day. The complication rate was 15.20 %. Univariate analysis failed to show any correlation between the final outcome and the checked parameters.
conclusionThe free autologous rectus fascia sling is a highly effective technique for the treatment of female stress incontinence in patients with neuropathic bladder, while the morbidity is mild.
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