title: 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.
abstract: 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.
authors.affiliation: Joint Urogynaecology Service, Suite 17, Singleton Hospital, Sketty, Swansea SA2 8QA, UK. karen.guerrero@swansea-tr.wales.nhs.uk
authors.forename: K
authors.initials: K
authors.lastname: Guerrero
authors.forename: A
authors.initials: A
authors.lastname: Watkins
authors.forename: S
authors.initials: S
authors.lastname: Emery
authors.forename: K
authors.initials: K
authors.lastname: Wareham
authors.forename: T
authors.initials: T
authors.lastname: Stephenson
authors.forename: V
authors.initials: V
authors.lastname: Logan
authors.forename: M
authors.initials: M
authors.lastname: Lucas
mesh_terms: 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*