Department of Urology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Department of Urology, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Neurourol Urodyn. 2024 Jun;43(5):1185-1191. doi: 10.1002/nau.25462. Epub 2024 Apr 8.
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.
自 2019 年食品和药物管理局禁止经阴道网片用于治疗盆腔器官脱垂以来，人们对使用自体组织的兴趣有所增加。我们的研究旨在评估接受阔筋膜阴道吊带术治疗压力性尿失禁（SUI）的患者对阔筋膜取骨部位的功能和美容影响的患者观点。
这是一项回顾性队列前瞻性调查研究，纳入了 2017 年至 2022 年间接受阔筋膜耻骨阴道吊带术的患者。参与者完成了一项关于取骨部位功能和美容结果的调查。
72 名患者符合纳入标准。29 名患者完成了调查，完成率为 40.3%。在功能症状方面，24.1%（7/29）的患者报告腿部不适，10.3%（3/29）报告腿部无力，10.3%（3/29）报告隆起，17.2%（5/29）报告疤痕疼痛，14.8%（4/27）报告疤痕麻木，17.2%（5/29）报告疤痕处感觉异常。在美容结果方面，72.4%（21/29）报告了极好或良好的疤痕外观。PGI-I 评分中，75.9%（22/29）报告他们的病情“非常好”（48.3%，14/29）或“好多了”（27.6%，8/29）。
大多数患者报告对取骨部位的功能和美容结果以及对 SUI 改善感到满意。不到 25%的患者报告取骨部位出现症状，包括腿部无力、疤痕隆起、疤痕疼痛、疤痕麻木或疤痕处感觉异常。这对于阔筋膜取骨术前讨论和咨询非常重要。
