Using Autologous Transobturator Fascia Lata Sling to Treat Stress Urinary Incontinence in Women

What this Trial Is About

This research aims to evaluate the outcome of using an autologous transobturator fascia lata sling to treat female stress urinary incontinence at Al-Azhar university hospitals. The study focuses on women with genuine or predominant stress urinary incontinence who have not responded to or do not wish to pursue conservative treatments. The procedure involves making an incision in the lower lateral thigh to isolate a strip of fascia lata, which is then secured with sutures and passed through the obturator membrane with the help of a reusable C-shaped trocar. This sling is positioned flush with the mid-urethra and fixed in place to prevent movement. The operation is performed under anesthesia, and involves bladder drainage, hydro-distention of the anterior vaginal wall, and careful dissection. Participants will be monitored for outcomes such as complete cure and improvement of stress urinary incontinence at three months after the procedure. The study includes assessments of surgical success and safety, with follow-up to evaluate the effectiveness of the sling in controlling symptoms. Total participation duration and additional monitoring details are aligned with the three-month primary outcome measurement.

Autologous Transobturator Fascia Lata Sling in Treatment of Female Stress Urinary Incontinence