Modified autologous fascial sling technique ('sling on a string') for stress incontinence.

ABSTRACT:

Introduction and hypothesis

Describe the modified autologous fascial sling procedure that has been employed in the largest randomized controlled trial comparing autologous slings, mesh slings and xenografts.

Methods

The video aims to demonstrate the modified Aldridge technique. The surgical procedure is demonstrated. A 6-cm suprapubic incision is made to harvest the rectus sheath fascia. Loop-0-PDS sutures are attached on either end of the sling. A marking suture is placed in the middle of the graft to facilitate tension-free adjustment. A vaginal incision is made at the mid-urethra. Paraurethral dissection is performed to create a tunnel for the fascial graft to be passed through (in the same manner as with transvaginal mesh slings). The ends of the graft PDS sutures are pa

SUBMITTER: Asfour V 

PROVIDER: S-EPMC8803810 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature