Spinal Cord Series and Cases, 2022 · DOI: https://doi.org/10.1038/s41394-022-00524-8 · Published: May 12, 2022
This study explores a surgical solution for stress urinary incontinence (SUI) in women with spinal cord injuries. Traditional methods have drawbacks, so the researchers looked at using the patient's own tissue (autologous sling) to support the urethra. The study found that using the patient's own tissue was effective in treating SUI in this group of women. It appeared to be a good option because it worked better than less invasive methods and had fewer complications than other surgical treatments. The researchers recommend regular check-ups to monitor for potential side effects. Specifically, they noted that some women developed new bladder control issues after the surgery, requiring further management.
Autologous fascial slings can be considered as a viable surgical option for women with SUI and NLUTD, especially when other methods have failed or are contraindicated.
Post-operative urodynamic controls are essential to detect and manage potential complications such as de novo detrusor overactivity.
Further studies, including randomized controlled trials, are warranted to compare the long-term efficacy and safety of autologous fascial slings with other surgical techniques.