Hypothesis / aims of study
Recurrent incontinence is one of the most disastrous complications of continence surgery. Midurethral slings are commonely used
nowadays for female stress urinary incontinence .Recurrenct incontinence ,Tape erosion and sometimes intraoperative visceral
or vascular injury still a big problem with these techniques . Fascial Sling is another good option in such like cases especially in
sever incontinence. In this study we evaluated efficacy, safety and long term results of fascial sling in recurrent female stress
incontinence.
Study design, materials and methods
38 female patients with recurrent SUI were evaluated. They were randomly divided into 2 groups :Group A(GA) 21 patients
underwent Fascial Patch Sling operation(FPS) using either rectus fascia or fascia lata and Group B (GB) 17 patients underwent
Transobturator Tape(TOT) .
Operative time, intra and postoperative complications, duration of catheterization and Hospital stay as well as success rate of
surgery were recorded.
All patients were evaluated by history, voiding diary , physical examination, urine culture, pelviabdominal ultrasound, and
urodynamics. International Consultation of Incontinence Questionnaire-Short Form (ICIQ-SF), and female sexual function index
(FSFI) questionnaire (Arabic versions were applied for all patients . patients were followed for 3years.3 patients did not complete
the follow up period ,2 from GA and 1 From GB. Both techniques were also compared as regard complications and tolerability
using Clavien complication grading
Results
Both groups were matched at baseline for mean age (33.41±12.36 and 34.95±11.63 years group A and B respectively),
comorbidity profile, (ICIQ-SF) , and (FSFI) questionnaire . Operative time, intra-operative bleeding were significantly lower in GB
24.08 ± 4.06 versus 43.94 ± 7.7 minutes , ( p