Very Long Term Outcomes of Autologous Pubovaginal Fascia Slings for Urinary Incontinence in Women

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Female Incontinence: Therapy II (PD27)1 Apr 2020PD27-11 VERY LONG TERM OUTCOMES OF AUTOLOGOUS PUBOVAGINAL FASCIA SLINGS FOR URINARY INCONTINENCE IN WOMEN Sandy Kim*, Daniel Wong, Dominic Lee, and Philippe E. Zimmern Sandy Kim*Sandy Kim* More articles by this author , Daniel WongDaniel Wong More articles by this author , Dominic LeeDominic Lee More articles by this author , and Philippe E. ZimmernPhilippe E. Zimmern More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000884.011AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Because very long term outcomes of autologous pubovaginal slings (PVS) are lacking in contemporary literature, we report on a prior series of primary (PVS1) and secondary (PVS2) slings, which had intermediate 5-10 year follow-up (1), to now over >10 year follow-up. METHODS: Following IRB approval, a retrospective cohort study of well-characterized, non-neurogenic, women who underwent an autologous PVS for stress urinary incontinence (SUI) from intrinsic sphincter deficiency (ISD) was re-evaluated for their very long-term status. Data collected from EMR included demographics and validated questionnaires (UDI-6, IIQ-7) which were compared to similar pre-operative and intermediate follow-up findings. The primary outcome was success defined as UDI-6 Question 3 (SUI) ≤ 1 and no SUI retreatment/operation. Secondary outcomes included total IIQ-7 and quality of life (QoL) scores. Patients not seen in clinics for at least 2 years were contacted via a standardized phone interview by an investigator not involved in the original care of these patients. RESULTS: From the original 110 patients (1996-2011), were interviewed at baseline, 83 patients had intermediate follow up. Of those, 5 were deceased and 34 patients provided very long term follow up based on clinic visit (7) or phone interviews (28). Those lost to follow-up (43) did not differ in demographics and intermediate outcomes from the remaining women in our study but on average lived further away (>75 miles). Mean age was 74 years old, median follow-up was 14 years (4-17), and 69% met our success criteria. Only one woman required a secondary bulking agent following procedure. Mean postoperative questionnaire scores did not differ significantly between intermediate and very long term follow-ups, and long term outcomes between PVS1 and PVS2 remained similar (See Table). CONCLUSIONS: A majority of women with long term follow up after PVS for primary or secondary SUI secondary to ISD remained satisfied with their continence status. Both groups, PVS1 and PVS2, fared equally well, confirming the durable nature of PVS as a treatment alternative for SUI. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e554-e554 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Sandy Kim* More articles by this author Daniel Wong More articles by this author Dominic Lee More articles by this author Philippe E. Zimmern More articles by this author Expand All Advertisement PDF downloadLoading ...