The Autologous Fascial Pubovaginal Sling for Recurrent Stress Incontinence: A Retrospective Study

IF 1.5 4区医学 Q3 UROLOGY & NEPHROLOGY LUTS: Lower Urinary Tract Symptoms Pub Date : 2025-01-09 DOI:10.1111/luts.70000

Jin-Yang Luo, Si-Hong Shen, Zhen-Yang Ye, Li-Jing Xu, Jia-Wei Chen, Liao Peng, Hong Shen, De-Yi Luo

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引用次数: 0

Abstract

Aim

This study aimed to analyze the clinical efficacy and safety of autologous fascial pubovaginal sling (AFPVS) surgery in treating recurrent stress urinary incontinence (SUI) following the failure of mid-urethral sling procedures.

Methods

A retrospective analysis was conducted on the clinical data of SUI patients who underwent AFPVS at our hospital between 2008 June and 2024 June following the failure of mid-urethral sling procedures. The analysis included basic information, surgical parameters, and postoperative complications. Additionally, telephone interviews using the International Consultation on Incontinence Questionnaire-Short Form (ICI-Q-SF) and the Incontinence Quality of Life Questionnaire (I-QOL) was conducted at 6-month follow-up.

Results

Thirty-four patients with the mean age of 54.8 ± 15.7 years old were reviewed, and the median disease duration was 3 (2–10) years. Of the 34 patients, 20 (58.8%) were cured, 8 (23.5%) showed improvement, resulting in an overall effectiveness rate of 82.3%. Three cases experienced bladder injury, which resolved after 2 weeks of catheterization, but no patients had urethral or vaginal injuries intraoperatively. Postoperative scores on the ICI-Q-SF significantly decreased (p < 0.001), and postoperative I-QOL scores significantly increased (p < 0.001) compared to preoperative scores.

Conclusion

AFPVS is a safe and effective salvage procedure for recurrent SUI following the failure of mid-urethral sling procedures.

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自体耻骨阴道筋膜吊带治疗复发性应力性尿失禁的回顾性研究。

目的：本研究旨在分析自体耻骨阴道筋膜悬吊（AFPVS）手术治疗中尿道悬吊失败后复发性应激性尿失禁（SUI）的临床疗效和安全性。方法：回顾性分析2008年6月至2024年6月在我院行尿道中悬吊失败的SUI患者AFPVS的临床资料。分析包括基本信息、手术参数和术后并发症。此外，在随访6个月时，使用国际失禁咨询问卷-短表（ICI-Q-SF）和失禁生活质量问卷（I-QOL）进行电话访谈。结果：纳入34例患者，平均年龄54.8±15.7岁，中位病程3（2-10）年。34例患者中治愈20例（58.8%），好转8例（23.5%），总有效率82.3%。3例患者出现膀胱损伤，术后2周膀胱损伤消退，术中无患者出现尿道或阴道损伤。结论：AFPVS是尿道中悬吊失败后复发性SUI的一种安全有效的抢救手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

LUTS: Lower Urinary Tract Symptoms UROLOGY & NEPHROLOGY-

CiteScore

3.00

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： LUTS is designed for the timely communication of peer-reviewed studies which provides new clinical and basic science information to physicians and researchers in the field of neurourology, urodynamics and urogynecology. Contributions are reviewed and selected by a group of distinguished referees from around the world, some of whom constitute the journal''s Editorial Board. The journal covers both basic and clinical research on lower urinary tract dysfunctions (LUTD), such as overactive bladder (OAB), detrusor underactivity, benign prostatic hyperplasia (BPH), bladder outlet obstruction (BOO), urinary incontinence, pelvic organ prolapse (POP), painful bladder syndrome (PBS), as well as on other relevant conditions. Case reports are published only if new findings are provided. LUTS is an official journal of the Japanese Continence Society, the Korean Continence Society, and the Taiwanese Continence Society. Submission of papers from all countries are welcome. LUTS has been accepted into Science Citation Index Expanded (SCIE) with a 2011 Impact Factor.