A randomised controlled trial comparing two autologous fascial sling techniques for the treatment of stress urinary incontinence in women: short, medium and long-term follow-up.
This randomised control trial compares full-length autologous slings (Group A: 81 women) with a modified "sling-on-a-string" (Group B: 84 women) technique for the treatment of stress urinary incontinence (SUI). Primary outcomes are quality of life (QoL) scores; Group A/Group B. The IIQ-7 scores decrease from 1.91/1.85 at baseline to 0.65/0.72 at 12 months and 0.85/0.92 at +5 years. The UDI-6 scores decrease from 1.85/1.61 at baseline to 0.66/0.62 at 12 months and 1.22/1.08 at +5 years. The incidence of SUI is 13% at 3 months but averages 53% at +5 years. Both techniques offer similar improvements. The shorter sling is quicker, less painful and with less hospital readmissions. The 'sling-on-a-string' technique is as effective as the standard technique with better short-term sequelae. The incidence of SUI post-autologous slings rises over the long term.
Guerrero
K
K
Joint Urogynaecology Service, Suite 17, Singleton Hospital, Sketty, Swansea SA2 8QA, UK. karen.guerrero@swansea-tr.wales.nhs.uk
Watkins
A
A
Emery
S
S
Wareham
K
K
Stephenson
T
T
Logan
V
V
Lucas
M
M
D000328:Adult; D000368:Aged; D000071938:Fasciotomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D013677:Medical Laboratory Science / Q000379:methods*; D008875:Middle Aged; D010146:Pain / Q000473:pathology / Q000601:surgery; D011788:Quality of Life; D053825:Suburethral Slings; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000473:pathology / Q000601:surgery*