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ArticleLower urinary tract symptoms2026

Autologous Transobturator Fascia Lata Sling for Female Stress Urinary Incontinence: A Pilot Feasibility and Safety Study.

Mohamed Fawzy Abdelfattah Salman, Atef A Hassan, Isaac Samir Wasfy, Hazem Deif, Abdelrahman A Hassan, Mohamed A Hindawy, Abdalla Mohamed Abdalla Hassan, Mohamed M Ali, Ibrahim Abdel-Al, Ayman K Koritenah and 2 more

Registry-linked trialAbstract readClinical Study
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In one paragraph

Article in Lower urinary tract symptoms, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05646745 (Autologous Transobturator Fascia Lata Sling in Treatment of Female Stress Urinary Incontinence), which is not on this map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05646745 narecruitingnot on this map

Autologous Transobturator Fascia Lata Sling in Treatment of Female Stress Urinary Incontinence

TypeinterventionalSponsorAl-Azhar UniversityRan2022 to 2026Enrolled60ConditionsStress Urinary IncontinenceArmsAutologous Transobturator Fascia Lata Sling
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Mohamed Fawzy Abdelfattah SalmanDepartment of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0000-0002-7794-5948
Atef A HassanFaculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0000-0003-3393-9105
Isaac Samir WasfyUrology Department, Faculty of Medicine, Suez Canal Ismailia University, Ismailia, Egypt.
Hazem DeifUrology Department, Faculty of Medicine, Al-Azhar University, Assiut, Egypt.
Abdelrahman A HassanDepartment of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohamed A HindawyUrology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0000-0002-9467-0544
Abdalla Mohamed Abdalla HassanUrology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohamed M AliUrology Department, Faculty of Medicine, Al-Azhar University, Assiut, Egypt.
Ibrahim Abdel-AlUrology Department, Faculty of Medicine, Al-Azhar University, Assiut, Egypt.
Ayman K KoritenahUrology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Tarek M AbuelazayemUrology Department, Faculty of Medicine, Al-Azhar University, Assiut, Egypt.
Hassan Kotb Mohamed KeritnaUrology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0009-0009-1592-8972

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the preliminary safety, feasibility, and short-term outcomes of the autologous transobturator fascia lata sling for female SUI to our knowledge the first series using fascia lata via a transobturator route, in view of the mesh-related complications of synthetic midurethral slings and the limitations of rectus fascia harvest in women with prior abdominal surgery, central obesity, or scarred fascia.

methodsProspective single-arm pilot feasibility and safety study of 40 women with SUI or stress-predominant mixed urinary incontinence (MUI) who underwent autologous transobturator fascia lata sling at Al-Azhar University Hospitals (June 2023 to May 2025; NCT05646745). Outcomes were assessed at 24 h, 2 weeks, and 3 months using the cough stress test, ICIQ-FLUTS questionnaire, and VAS pain scores.

resultsMean age was 48.9 ± 7.8 years; BMI 31.4 ± 4.1 kg/m

conclusionThis preliminary exploratory study suggests that autologous transobturator fascia lata sling is a feasible and promising mesh-free technique for female SUI with favorable short-term outcomes at 3 months. These results must be interpreted cautiously given the small sample size, short follow-up, and absence of a control group. Longer follow-up, multicenter validation, and randomized comparative studies are warranted.

trial registrationClinicalTrials.gov: NCT05646745.

Indexed as

Fascia LataSuburethral SlingsUrinary Incontinence, StressAdultFeasibility StudiesFemaleHumansMiddle AgedPilot ProjectsProspective StudiesTransplantation, AutologousTreatment Outcomeautologous slingfascia lataICIQ‐FLUTSmesh‐freestress urinary incontinencetransobturator

Identifiers

PMID42521462
PMCPMC13413615

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.