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Pubovaginal fascial slings
R D Cespedes1, C A Cross, E J McGuire
1Department of Urology/PSSU, Wilford Hall Medical Center, Lackland Air Force Base, Texas 78236, USA.
Techniques in Urology
|January 1, 1997
Summary
Pubovaginal fascial slings are an effective primary treatment for stress urinary incontinence, especially in women with intrinsic sphincter deficiency or high-risk factors. This procedure offers good results with minimal morbidity.
Area of Science:
- Urology
- Female Pelvic Medicine and Reconstructive Surgery
Background:
- Pubovaginal fascial slings, first reported in 1907, were historically reserved for refractory incontinence.
- Current indications include primary treatment for intrinsic sphincter deficiency or urethral hypermobility.
Purpose of the Study:
- To describe the current technique and outcomes of pubovaginal slings for stress urinary incontinence.
- To highlight the efficacy of slings as a primary surgical option.
Main Methods:
- Review of surgical technique for pubovaginal fascial sling.
- Analysis of outcomes in women undergoing the procedure for stress incontinence.
Main Results:
- Pubovaginal slings are indicated for primary treatment in specific patient groups.
- The procedure is relatively easy to perform with good results and minimal morbidity.
Conclusions:
- Pubovaginal slings are a reliable and effective primary surgical option for stress urinary incontinence.
- This technique is particularly valuable for women with intrinsic sphincter deficiency or high-risk factors for failure.