# Autologous rectus abdominis fascia sling surgery following unsuccessful synthetic midurethral sling

## TL;DR

This paper describes a successful surgery using a patient's own abdominal tissue to treat urinary incontinence after a failed synthetic sling.

## Contribution

The paper introduces a reliable method for autologous rectus abdominis fascia sling surgery using Advantage™.

## Key findings

- The patient had 0 g of leakage one month post-surgery.
- The procedure was successful in treating stress urinary incontinence recurrence.
- The method is considered reliable even for those unfamiliar with conventional techniques.

## Abstract

We performed autologous rectus abdominis fascia sling surgery using Advantage™ following an unsuccessful synthetic midurethral sling.

At the age of 76 years, the patient experienced stress urinary incontinence recurrence. A 1‐h pad test resulted in 259 g of leakage. A pressure flow study verified urine leakage while coughing and straining without detrusor overactivity. Abdominal leak point pressure was 10 cmH2O. Autologous rectus abdominis fascia sling surgery was performed using Advantage™. One month postoperatively, a 1‐h pad test resulted in 0 g of leakage.

We believe that this method will allow the fascia sling procedure to be performed reliably even if one is unfamiliar with conventional autologous rectus abdominis fascia sling surgery.