Long-term Outcomes of Autologous Transobturator Rectus Fascia Sling for Treatment of Female Stress Urinary Incontinence

Autologous transobturator sling placement is associated with excellent short-term results and can be performed on an outpatient basis in most cases, so long-term outcomes needs to be verified.

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:Mild Stress urinary incontinence with improvement on conservative therapy or patients refusing surgical treatment.Mixed incontinence with predominant Urge urinary incontinence.Associated local abnormalities (e.g. cystocele).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)Genito-urinary malignancy.Current chemo or radiation therapy.