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Autologous transobturator midurethral sling
Alkan Çubuk1, Akif Erbin1, Metin Savun1
1Department of Urology, Health Science University Haseki Training and Research Hospital, İstanbul, Turkey.
Turkish Journal of Urology
|December 18, 2019
Summary
This study presents a new surgical technique for stress urinary incontinence using autologous rectus fascia as a transobturator midurethral sling. The procedure proved safe and effective in a patient avoiding synthetic mesh complications.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Pelvic Reconstructive Surgery
Background:
- Stress urinary incontinence (SUI) affects many women, often treated with synthetic midurethral slings.
- Concerns exist regarding mesh-related complications, prompting interest in alternative materials.
- Autologous fascia offers a biological alternative to synthetic materials for SUI surgery.
Purpose of the Study:
- To describe a novel surgical technique for SUI using autologous rectus abdominis fascia as a transobturator midurethral sling.
- To present a case study of a patient undergoing this procedure.
Main Methods:
- A 54-year-old woman with SUI opted for autologous sling due to mesh anxiety.
- Rectus abdominis fascia was harvested and fashioned into a sling.
- The sling was placed using a transobturator approach, avoiding synthetic materials.
Main Results:
- The patient experienced complete resolution of urinary leakage at 3 and 6 months post-surgery.
- No voiding complaints or complications were reported.
- Surgical incisions healed well.
Conclusions:
- Autologous transobturator midurethral sling surgery is a safe and effective option for SUI.
- This technique addresses concerns about synthetic mesh complications.
- Further studies with larger patient cohorts and long-term follow-up are warranted.
