Autologous Transobturator Fascia Lata Sling in Treatment of Female Stress Urinary Incontinence

To evaluate the outcome of autologous transobturator fascia lata sling for treatment of female stress urinary incontinence at Al-Azhar university hospitals.

Inclusion Criteria:Women with genuine stress urinary incontinence.Mixed urinary incontinence with predominant stress element.Refractory cases to conservative therapy or patients who are not willing to consider (further) conservative treatment.Exclusion Criteria:Mixed incontinence with predominant Urge urinary incontinence.Associated local abnormalities that may affect surgery outcomes (e.g. complete procidentia).Recent or active urinary tract infection.Recent pelvic surgery.Neurogenic lower urinary tract dysfunction.Previous surgery for stress urinary incontinence.PregnancyLess than 12 months post-partum.Other gynaecologic pathologies affecting bladder functions ( eg, large fibroids, ovarian cysts)Genito-urinary malignancy.Current chemo or radiation therapy.