Comparison of midurethral tape with autologous rectus fascial sling surgery for stress urinary incontinence: A systematic review and meta-analysis

Abstract

Objectives: To compare the success rates of autologous fascial mesh (sling and transobturator tape [TOT]) with midurethral synthetic meshes (tension-free vaginal tape sling [TVT] and TOT) for stress urinary incontinence.

Materials and methods: A literature search for studies published in English was conducted from May 10, 2022, to June 1, 2022. The search included MEDLINE/PubMed, Cochrane Library, Scopus, Web of Science, Google Scholar, and ProQuest, using the terms{“Autologous fascial slings”}OR {“AFS”} AND{“TOT”} OR {“Transobturator tape”} OR{“TVT”} OR{“Transvaginal tape”}. A total of 20 studies, including 10 randomized controlled trials, were selected for the review. RevMan software (version 5.3) was used to calculate the pooled effect estimates for operative and postoperative variables.

Results: In the systemic review, 20 studies, including 10 randomized controlled trials, were assessed. In the TVT versus autologous pubovaginal sling (A-PVS) groups, the effect estimates for the surgical duration, catheter duration, success, and complication rates were more advantageous for TVT. However, in comparison to autologous transobturator tape groups, TOT provided better operative time and a shorter hospital stay. Moreover, in comparison to the A-PVS group, the TOT group was superior in terms of operating time, urethral catheterization, hospital stay, amount of residual urine, and wound complications. The A-PVS group had significantly more groin and thigh pain.

Conclusions: During medium- and long-term follow-ups, the use of autologous rectus fascia grafts using a A-PVS or TOT provided similar complication rates and urinary continence results as using midurethral synthetic meshes (TVT and TOT).

Keywords

Autologous fascial sling / Transobturator tape / Transvaginal tape

Acknowledgments

None

Statement of ethics

This systematic review and meta-analysis followed the principles of the Cochrane Handbook for Systematic Reviews of Interventions, version 6, and the results were reported according to the Preferred Reporting Items for Systematic Reviews andMeta-Analyses (PRISMA) guidelines.

Conflict of interest statement

No conflict of interest has been declared by the author.

Funding source

No external funding was received.

Author contributions

YG: Data collection, statistical analysis and writing of the article.

Data availability

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

References

[1] National Institute for Health and Care Excellence. NICE Guidelines CG171: Urinary incontinence: The management of urinary incontinence in women, September 2013. Available at: http://www.nice.org.uk/guidance/CG171. Accessed August 2014.

[2] Ogah J, Cody JD, Rogerson L. Minimally invasive synthetic suburethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev 2009;(4):CD006375.

[3] Ford AA, Rogerson L, Cody JD, Ogah J. Mid-urethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev 2015;(7):CD006375.

[4] Ulmsten U, Petros P. Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol 1995; 29(1):75-82.

[5] Delorme E. Transobturator urethral suspension: Mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 2001; 11(6):1306-1313.

[6] Ghoniem GM, Rizk DEE. Renaissance of the autologous pubovaginal sling. Int Urogynecol J 2018; 29(2):177-178.

[7] Aldridge AH. Transplantation of fascia for relief of urinary stress incontinence. Am J Obstet Gynecol 1942; 44(3):398-411.

[8] McGuire EJ, Lytton B. Pubovaginal sling procedure for stress incontinence. J Urol 1978; 119(1):82-84.

[9] Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ 2021;372:n71.

[10] The Social Care Guidance Manual Process and Methods (PMG10). Methodology Checklist UK. NICE; 2016. Available at: https://www.nice.org.uk/process/pmg10/chapter/appendix-b-methodology-checklist-systematic-reviews-and-meta-analyses. Accessed July 1, 2016.

[11] Sarikaya K, Senocak C, Sadioğlu FE, Ciftci M, Bozkurt OF. Comparison of long-term outcomes of transobturator rectus fascia sling and polypropylene mesh in obese women? J Gynecol Surg 2021; 37(3):246-251.

[12] Al-Azzawi IS. The first Iraqi experience with the rectus fascia sling and transobturator tape for female stress incontinence: A randomised trial. Arab J Urol 2014; 12(3):204-208.

[13] Cubuk A, Yanaral F, Sahan A, et al. Modified autologous transobturator tape surgery—A prospective comparison with transobturator tape surgery. Urology 2020;146:72-78.

[14] Dogan S. Comparison of autologous rectus fascia and synthetic sling methods of transobturator mid-urethral sling in urinary stress incontinence. Cureus 2022; 14(3):e23278.

[15] Kilinç MF, Yildiz Y, Hascicek AM, Doluoglu OG, Tokat E. Long-term postoperative follow-up results of transobturator autologous rectus fascial sling versus transobturator tension-free vaginal tapes for female stress urinary incontinence: Randomized controlled clinical trial. Neurourol Urodyn 2022; 41(1):281-289.

[16] Mourad S, Elshawaf H, Ahmed M, Mostafa DE, Gamal M, Shorbagy AA. Autologous versus synthetic slings in female stress urinary incontinence: A retrospective study. Arab J Urol 2018; 16(4):397-403.

[17] Sharma JB, Deoghare MK, Bhatla N, et al. A comparative study of autologous rectus fascia pubovaginal sling surgery and synthetic transobturator vaginal tape procedure in treatment of women with urodynamic stress urinary incontinence. Eur J Obstet Gynecol Reprod Biol 2020;252:349-354.

[18] Çubuk A, Şahan A, Özkaptan O, et al. Impact of autologous transobturator sling surgery on female sexual function: A comparative study with mesh used mid-urethral sling surgeries. Urol Int 2021; 105(9-10):764-770.

[19] Aberger M, Gomelsky A, Padmanabhan P. Comparison of retropubic synthetic mid-urethral slings to fascia pubovaginal slings following failed sling surgery. Neurourol Urodyn 2016; 35(7):851-854.

[20] Amaro JL, Yamamoto H, Kawano PR, Barros G, Gameiro MO, Agostinho AD. Clinical and quality-of-life outcomes after autologous fascial sling and tension-free vaginal tape: A prospective randomized trial. Int Braz J Urol 2009; 35(1):60-67.

[21] Guerrero KL, Emery SJ, Wareham K, Ismail S, Watkins A, Lucas MG. A randomised controlled trial comparing TVT, pelvicol and autologous fascial slings for the treatment of stress urinary incontinence in women. BJOG 2010; 117(12):1493-1502.

[22] Khan ZA, Nambiar A, Morley R, Chapple CR, Emery SJ, Lucas MG. Long-term follow-up of a multicentre randomised controlled trial comparing tension-free vaginal tape, xenograft and autologous fascial slings for the treatment of stress urinary incontinence in women. BJU Int 2015;115:968-977.

[23] Sharifiaghdas F, Mortazavi N. Tension-free vaginal tape and autologous rectus fascia pubovaginal sling for the treatment of urinary stress incontinence: A medium-term follow-up. Med Princ Pract 2008;17:209-214.

[24] Trabuco EC, Klingele CJ, Weaver AL, et al. Medium-term comparison of continence rates after rectus fascia or midurethral sling placement. Am J Obstet Gynecol 2009; 200(3):300.e1-6.

[25] Wadie BS, Edwan A, Nabeeh AM. Autologous fascial sling vs polypropylene tape at shortterm followup: A prospective randomized study. J Urol 2005; 174(3):990-993.

[26] Mock S, Angelle J, Reynolds WS, Osborn DJ, Dmochowski RR, Gomelsky A. Contemporary comparison between retropubic midurethral sling and autologous pubovaginal sling for stress urinary incontinence after the FDA advisory notification. Urology 2015; 85(2):321-325.

[27] Kondo A, Isobe Y, Kimura K, et al. Efficacy, safety and hospital costs of tension-free vaginal tape and pubovaginal sling in the surgical treatment of stress incontinence. J Obstet Gynaecol Res 2006; 32(6):539-544.

[28] Bai SW, Sohn WH, Chung DJ, Park JH, Kim SK. Comparison of the efficacy of Burch colposuspension, pubovaginal sling, and tension-free vaginal tape for stress urinary incontinence. Int J Gynaecol Obstet 2005; 91(3):246-251.

[29] Silva-Filho AL, Candido EB, Noronha A, Triginelli SA. Comparative study of autologous pubovaginal sling and synthetic transobturator (TOT) SAFYRE sling in the treatment of stress urinary incontinence. Arch Gynecol Obstet 2006; 273(5):288-292.

[30] Morgan DM, Dunn RL, Fenner DE, et al. Comparative analysis of urinary incontinence severity after autologous fascia pubovaginal sling, pubovaginal sling and tension-free vaginal tape. J Urol 2007; 177(2):604-608; discussion 608-609.

[31] Fitzgerald MP, Mollenhauer J, Brubaker L. The fate of rectus fascia suburethral slings. Am J Obstet Gynecol 2000; 183(4):964-966.

[32] Woodruff AJ, Cole EE, Dmochowski RR, Scarpero HM, Beckman EN, Winters JC. Histologic comparison of pubovaginal sling graft materials: A comparative study. Urology 2008; 72(1):85-89.

[33] Slack M, Sandhu JS, Staskin DR, Grant RC. In vivo comparison of suburethral sling materials. Int Urogynecol J Pelvic Floor Dysfunct 2006; 17(2):106-110.

[34] Boulanger L, Boukerrou M, Lambaudie E, Defossez A, Cosson M. Tissue integration and tolerance to meshes used in gynecologic surgery: An experimental study. Eur J Obstet Gynecol Reprod Biol 2006; 125(1):103-108.

[35] Petros PE, Ulmsten UI. An integral theory and its method for the diagnosis and management of female urinary incontinence. Scand J Urol Nephrol Suppl 1993;153:1-93.

[36] Ulmsten U, Henriksson L, Johnson P, Varhos G. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 1996;7:81-86.

[37] Nilsson CG, Palva K, Rezapour M, Falconer C. Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 2008; 19(8):1043-1047.

[38] Svenningsen R, Staff AC, Schiotz HA, Western K, Kulseng-Hanssen S. Long-term follow-up of the retropubic tension-free vaginal tape procedure. Int Urogynecol J 2013; 24(8):1271-1278.

[39] Athanasopoulos A, Gyftopoulos K, McGuire EJ. Efficacy and preoperative prognostic factors of autologous fascia rectus sling for treatment of female stress urinary incontinence. Urology 2011; 78(5):1034-1038.