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The urinary system consists of two kidneys, two ureters, the urinary bladder, and the urethra.
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The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
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Updated: Feb 2, 2026

Autologous Endothelial Progenitor Cell-Seeding Technology and Biocompatibility Testing For Cardiovascular Devices in Large Animal Model
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Surgery for Stress Urinary Incontinence: Autologous Fascial Sling.

Jerry G Blaivas1, Vannita Simma-Chiang1, Zeynep Gul1

  • 1Department of Urology, Icahn School of Medicine at Mount Sinai, 1425 Madison Avenue, New York, NY 10029, USA.

The Urologic Clinics of North America
|November 24, 2018
PubMed
Summary
This summary is machine-generated.

Autologous fascial pubovaginal sling (AFPVS) surgery is effective for stress urinary incontinence (SUI). While synthetic midurethral slings (SMUS) are comparable in efficacy, AFPVS offers a safer alternative with fewer severe complications.

Keywords:
Autologous pubovaginal slingEfficacyFascial slingOperative techniquePubovaginal slingSafetyStress urinary incontinenceSynthetic midurethral sling

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Area of Science:

  • Urology
  • Gynecology
  • Surgical Techniques

Background:

  • Synthetic midurethral slings (SMUS) are increasingly preferred for stress urinary incontinence (SUI).
  • Concerns exist regarding severe complications associated with SMUS procedures.

Purpose of the Study:

  • To describe the operative technique of autologous fascial pubovaginal sling (AFPVS) surgery.
  • To evaluate the outcomes, safety, and efficacy of AFPVS.
  • To compare AFPVS with SMUS for SUI treatment.

Main Methods:

  • Review of senior author's outcomes with AFPVS.
  • Comparison with existing large studies and meta-analyses on AFPVS.
  • Comparative analysis of AFPVS and SMUS safety and efficacy profiles.

Main Results:

  • AFPVS demonstrates comparable efficacy to SMUS for SUI.
  • SMUS are associated with a higher incidence of severe complications compared to AFPVS.
  • The senior author reports favorable outcomes with the AFPVS technique.

Conclusions:

  • Autologous fascial pubovaginal sling (AFPVS) surgery remains a safe and effective treatment for SUI.
  • AFPVS should be considered the gold standard for SUI treatment due to its safety profile.
  • Surgeons should weigh the risk of severe complications with SMUS against the benefits of AFPVS.