Abstract

ZELLER, Federico L. et al. The treatment of female stress urinary incontinence (SUI) using fascia lata in a rural hospital. Arch. Esp. Urol. [online]. 2008, vol.61, n.5, pp.597-602. ISSN 0004-0614.

Objectives: Pubovaginal sling has been the treatment of choice for female SUI over the last two years. Those made with autologous materials have demonstrated a lower rate of complications. We present our experience using autologous fascia lata. Methods: Between May 2005 and July 2006 we performed 10 procedures through a suprapubic approach. In eight cases they were ascended to the retropubic space using needles, and in 2 cases we employed the vaginal tunneler (Tyco^®). In the 8 initial cases both sling branches were anchored to the Cooper`s ligament. In the remainder two cases they were anchored to the fascia of the obliquus externus muscle. Results: Mean age was 57.7 years; mean follow-up time was 14.8 months (6-20). In 6 cases cystocele was simultaneously corrected. Hospital stay was 72 hours. In two cases, section of the autologous sling was required due to excessive correction. Four patients keep using pads; nevertheless, all 10 patients refer no SUI. Post-operative urine culture was positive in four patients, with negative controls. One case presented vaginal candidiasis. Conclusions: Autologous fascia lata pubovaginal sling is an effective low cost treatment, with a low complication rate.

Keywords : Stress urinary incontinence; Autologous sling; Fascia lata; Female incontinence.

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