Pubovaginal fascial sling for treatment of stress urinary incontenence and the relation of obesity to surgical results

ABSTRACT

In this study, pubovaginal fascial slings were successfully used in the treatment of stress urinary incontinence [SUI] due to intrinsic sphincter deficiency. The results of pubovaginal fascial sling taken from rectus sheath for treatment of all types of SUI and the effect of obesity on the surgical result were assessed. The records of 61 women with SUI underwent pubovaginal fascial sling [43 women of normal weight and 18 obese women] were retrospectively reviewed. The results indicated that the success rate was 90.7% in normal weight women and 72.2% in obese women. It was concluded that pubovaginal fascial sling was an effective surgical treatment for all types of SUI whether primary or recurrent. Obesity gave poor results in women underwent this procedure