Efficacy of the autologous fascial sling in the neuropathic population
BAUS ePoster online library. Downey A.
Jun 26, 2018; 211331
Ms. Alison Downey
Ms. Alison Downey
Login now to access Regular content available to all registered users.

You may also access this content "anytime, anywhere" with the Free MULTILEARNING App for iOS and Android
Rate & Comment (0)
Introduction: Neuropathic stress urinary incontinence is a common and debilitating problem; particularly in severely disabled patients with sacral pressure sores. NICE recommends insertion of autologous fascial sling over synthetic tapes due to the risk of urethral erosion. We performed a retrospective review of patients undergoing AFS in a single specialised centre to assess outcomes.

Patients and Methods: 14 patients were identified with a median age of 47 (range 19-80). 11 had a spinal cord injury and 3 a supra-pontine condition. 3 patients had severe sacral pressure ulcers complicated by severe incontinence. All patients underwent preoperative urodynamics which demonstrated SUI and completed pre- and post-op ICIQ questionnaires. 6 patients had had previous intervention for SUI and 5 were on treatment for neuropathic overactivity preoperatively.

Results: Median length of stay was 2.5 days. 7 patients had a concurrent procedure and 3 required intraoperative repositioning of sling. 1 patient returned to theatre for washout of haematoma. All patients were dependent on catheterisation as expected (4 with SPC and 7 doing ISC). 2 patients developed de novo overactivity. Mean ICIQ score decreased from 17 to 0. Mean pad usage decreased from 5 pads per day to 0 pads per day with 8 patients completely dry. The 3 patients with sacral pressure ulcers were completely dry and therefore proceeded to definitive management of their sores.

Conclusion: Autologous fascial sling insertion in our unit had excellent results with acceptable complication rates; all patients had an improvement in symptoms and a decrease in pad usage.
    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.

Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.

Save Settings