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Cosmetic and functional impact of fascia lata harvest for use in surgery for stress urinary incontinence.

التفاصيل البيبلوغرافية
العنوان: Cosmetic and functional impact of fascia lata harvest for use in surgery for stress urinary incontinence.
المؤلفون: Johnson C; Department of Urology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA., Vollstedt A; Department of Urology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA., Nakatsuka H; Department of Urology, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA., Orzel J; Department of Urology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA., Takacs EB; Department of Urology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
المصدر: Neurourology and urodynamics [Neurourol Urodyn] 2024 Jun; Vol. 43 (5), pp. 1185-1191. Date of Electronic Publication: 2024 Apr 08.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Alan R. Liss Country of Publication: United States NLM ID: 8303326 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1520-6777 (Electronic) Linking ISSN: 07332467 NLM ISO Abbreviation: Neurourol Urodyn Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York : Alan R. Liss, c1982-
مواضيع طبية MeSH: Urinary Incontinence, Stress*/surgery , Urinary Incontinence, Stress*/physiopathology , Fascia Lata*/transplantation, Humans ; Female ; Middle Aged ; Retrospective Studies ; Aged ; Prospective Studies ; Suburethral Slings ; Treatment Outcome ; Tissue and Organ Harvesting/adverse effects ; Patient Satisfaction ; Adult ; Cicatrix/physiopathology ; Cicatrix/etiology
مستخلص: Introduction: There has been increased interest in using autologous tissues since the Food and Drug Administration banned transvaginal mesh for pelvic organ prolapse in 2019. Our study aims to assess patients' perspective of functional and cosmetic impact on the fascia lata harvest site in patients undergoing fascia lata harvest for the treatment of stress urinary incontinence (SUI).
Methods: This is a prospective survey study of a retrospective cohort of patients who underwent a fascia lata pubovaginal sling between 2017 and 2022. Participants completed a survey regarding the functional and cosmetic outcomes of the harvest site.
Results: Seventy-two patients met the inclusion criteria. Twenty-nine patients completed the survey for a completion rate of 40.3%. For functional symptoms, 24.1% (7/29) of patients reported leg discomfort, 10.3% (3/29) reported leg weakness, 10.3% (3/29) reported a bulge, 17.2% (5/29) reported scar pain, 14.8% (4/27) reported scar numbness, and 17.2% (5/29) reported paresthesia at the scar. For cosmetic outcomes, 72.4% (21/29) reported an excellent or good scar appearance. On the PGI-I, 75.9% (22/29) reported their condition as very much better (48.3%, 14/29) or much better (27.6%, 8/29).
Conclusions: The majority of patients reported being satisfied with the functional and cosmetic outcomes of their harvest site as well as satisfied with the improvement in their SUI. Less than 25% of patients report harvest site symptoms, including leg weakness, scar bulging, scar pain, scar numbness, or paresthesia in the scar. This is important in the context of appropriate preoperative discussion and counseling regarding fascia lata harvest.
(© 2024 The Authors. Neurourology and Urodynamics published by Wiley Periodicals LLC.)
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فهرسة مساهمة: Keywords: autologous sling; fascia lata; pubovaginal sling; stress urinary incontinence
تواريخ الأحداث: Date Created: 20240408 Date Completed: 20240605 Latest Revision: 20240605
رمز التحديث: 20240605
DOI: 10.1002/nau.25462
PMID: 38587244
قاعدة البيانات: MEDLINE
الوصف
تدمد:1520-6777
DOI:10.1002/nau.25462