Journal article
Cosmetic and functional impact of fascia lata harvest for use in surgery for stress urinary incontinence
Neurourology and urodynamics, Vol.43(5), pp.1185-1191
06/2024
DOI: 10.1002/nau.25462
PMID: 38587244
Appears in UI Libraries Support Open Access
Abstract
There has been increased interest in using autologous tissues since the Food and Drug Administration banned transvaginal mesh for pelvic organ prolapse in 2019. Our study aims to assess patients' perspective of functional and cosmetic impact on the fascia lata harvest site in patients undergoing fascia lata harvest for the treatment of stress urinary incontinence (SUI).
This is a prospective survey study of a retrospective cohort of patients who underwent a fascia lata pubovaginal sling between 2017 and 2022. Participants completed a survey regarding the functional and cosmetic outcomes of the harvest site.
Seventy-two patients met the inclusion criteria. Twenty-nine patients completed the survey for a completion rate of 40.3%. For functional symptoms, 24.1% (7/29) of patients reported leg discomfort, 10.3% (3/29) reported leg weakness, 10.3% (3/29) reported a bulge, 17.2% (5/29) reported scar pain, 14.8% (4/27) reported scar numbness, and 17.2% (5/29) reported paresthesia at the scar. For cosmetic outcomes, 72.4% (21/29) reported an excellent or good scar appearance. On the PGI-I, 75.9% (22/29) reported their condition as very much better (48.3%, 14/29) or much better (27.6%, 8/29).
The majority of patients reported being satisfied with the functional and cosmetic outcomes of their harvest site as well as satisfied with the improvement in their SUI. Less than 25% of patients report harvest site symptoms, including leg weakness, scar bulging, scar pain, scar numbness, or paresthesia in the scar. This is important in the context of appropriate preoperative discussion and counseling regarding fascia lata harvest.
Details
- Title: Subtitle
- Cosmetic and functional impact of fascia lata harvest for use in surgery for stress urinary incontinence
- Creators
- Colin Johnson - University of Iowa Hospitals and ClinicsAnnah Vollstedt - University of IowaHannah Nakatsuka - University of IowaJoanna Orzel - University of IowaElizabeth B Takacs - University of Iowa Hospitals and Clinics
- Resource Type
- Journal article
- Publication Details
- Neurourology and urodynamics, Vol.43(5), pp.1185-1191
- Publisher
- Wiley
- DOI
- 10.1002/nau.25462
- PMID
- 38587244
- eISSN
- 1520-6777
- Language
- English
- Electronic publication date
- 04/08/2024
- Date published
- 06/2024
- Academic Unit
- Urology
- Record Identifier
- 9984585183802771
Metrics
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