fascial sling

fascial sling

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The colposuspension and fascial sling are still used today for select patients.
Vaginal vault suspension for prolapse after hysterectomy using an autologous fascial sling of rectus sheath.
Pubovaginal fascial sling for the treatment of all types of stress urinary incontinence: surgical technique and long-term outcome.
Burch colposuspension versus fascial sling to reduce urinary stress incontinence.
Richter and her colleagues randomized women with stress urinary incontinence (SUI) to undergo treatment with either Burch colpopexy or autologous rectus fascial sling in the Stress Incontinence Surgical Treatment Efficacy Trial (SISTER).
Autologous fascial sling vs polypropylene tape at short-term follow-up: a prospective randomized study.
Data demonstrates better short-term and long-term outcomes, as well as decreased patient morbidity with the fascial sling in these patient populations.
For larger urethral injuries, reconstructive procedures, including urethra-vaginal fistula repair with Martius flap and fascial sling, may be needed, and referral to a subspecialist is encouraged.
Surgical options include repeat MUS with or without mesh removal, salvage autologous fascial sling or Burch colposus-pension, or salvage artificial urinary sphincter insertion.
Autologous fascial sling (AFS) is an effective treatment for SUI that has longevity and may be more effective than other biological and synthetic slings (grade A).
We were very interested to read the recent study by Welk and Herschorn, and the related commentary by Steele, regarding the role of autologous rectus fascial slings for complex recurrent female stress urinary incontinence (SUI).