Role of autologous bladder-neck slings: a urogynecology perspective |
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Authors: | Dani Zoorob Mickey Karram |
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Affiliation: | a Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, The Christ Hospital/University of Cincinnati, 231 Albert Sabin Way, Cincinnati, OH 45267, USA b The Christ Hospital, 2123 Auburn Avenue, Suite 307, Cincinnati, OH 45219, USA |
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Abstract: | The concept of the autologous pubovaginal sling involves supporting the proximal urethra and bladder neck with a piece of graft material, achieving continence either by providing a direct compressive force on the urethra/bladder outlet or by reestablishing a reinforcing platform or hammock against which the urethra is compressed during transmission of increased abdominal pressure. Pubovaginal slings using a biological sling material (whether autologous, allograft, or xenograft) can be used successfully to manage primary or recurrent stress incontinence. This article addresses the indications for the use of an autologous bladder-neck sling, describes the surgical techniques, and discusses outcomes and technical considerations. |
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Keywords: | Stress urinary incontinence Intrinsic sphincter deficiency Autologous bladder-neck sling Pubovaginal sling |
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