RESUMO
To evaluate the results of autologous rectus sheath graft sling procedure for treatment of genuine stress urinary incontinence [GSUI]. Twenty-four female patients having GSUI were scheduled for surgical repair using rectus sheath graft. Via a suprapubic mid-line incision a graft of rectus sheath was fashioned and passed behind the bladder neck retropubically to be anchored to the anterior rectus sheath. Patients were followed-up for 12-18 months, with clinical assessment, urinalysis, urodynamic study and ascending and voiding cystourethrography in certain cases. Eighteen patients became dry and continent with a cure rate of 75%. Improvement was achieved in 4 patients [16.6%], with variable degrees based on pad test and voiding diary with an overall success rate of 91.6%. The remaining 2-patients [8.3%] were considered as failure. Sling procedure using rectus sheath is effective in over 90% of cases of GSUI. It could be considered as a primary surgical treatment for cases with stress urinary incontinence as it has low complications rate, low cost with satisfactory outcome