{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T11:43:50Z","timestamp":1785325430963,"version":"3.55.0"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T00:00:00Z","timestamp":1554076800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate efficacy and outcomes of the autologous transobturator midurethral sling for treatment of stress urinary incontinence (<jats:styled-content style=\"fixed-case\">SUI<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a prospective cohort study, an autologous transobturator mid\u2010urethral sling was used to treat <jats:styled-content style=\"fixed-case\">SUI<\/jats:styled-content> among women attending a university hospital in Montevideo, Uruguay, from June 2017 to July 2018. In the first phase, autologous tissue of the abdominis rectus fascia was collected. In the second phase, the midurethral sling was placed via the transobturator approach. Outcomes were measured every 3\u00a0months by the International Consultation on Incontinence Questionnaire Female Lower Urinary Tract Symptoms (<jats:styled-content style=\"fixed-case\">ICIQ<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">FLUTS<\/jats:styled-content>) Score. Preoperative and postoperative results were compared by Wilcoxon test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighteen women with a median age of 51\u00a0years were enrolled. The median follow\u2010up was 9\u00a0months (range 6\u201315\u00a0months). Overall, 17 women showed symptomatic improvement after the procedure. In a comparison of preoperative versus postoperative <jats:styled-content style=\"fixed-case\">ICIQ<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">FLUTS<\/jats:styled-content> questionnaires, improvement in the incontinence subscore was observed at 3 (<jats:italic>P<\/jats:italic>&lt;0.001), 6 (<jats:italic>P<\/jats:italic>&lt;0.001), and 12 (<jats:italic>P<\/jats:italic>=0.008) months. No severe complications were\u00a0observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Use of an autologous transobturator urethral sling was found to be technically feasible and safe for <jats:styled-content style=\"fixed-case\">SUI<\/jats:styled-content>, with good short\u2010term outcomes. Longer follow up and larger series are needed to validate the procedure.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12804","type":"journal-article","created":{"date-parts":[[2019,3,15]],"date-time":"2019-03-15T09:29:15Z","timestamp":1552642155000},"page":"300-305","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Autologous transobturator sling as an alternative therapy for stress urinary incontinence"],"prefix":"10.1002","volume":"145","author":[{"given":"Joel","family":"Laufer","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology School of Medicine University of Uruguay  Montevideo Uruguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santiago","family":"Scasso","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology School of Medicine University of Uruguay  Montevideo Uruguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valeria","family":"Bentancor","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology School of Medicine University of Uruguay  Montevideo Uruguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilia","family":"Bertoche","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology School of Medicine University of Uruguay  Montevideo Uruguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio G.","family":"Sosa","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology School of Medicine University of Uruguay  Montevideo Uruguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel S.","family":"Elliott","sequence":"additional","affiliation":[{"name":"Department of Urology Mayo Clinic  Rochester NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,4]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1067\/S0002-9378(03)00598-2"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000286"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181c2ce96"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2013.07.040"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000097"},{"key":"e_1_2_7_7_1","unstructured":"Food and Drug Administration.Urogynecologic Surgical Mesh: Update on the Safety and Effectiveness of Tansvaginal Placement for Pelvic Organ Prolapse[FDA Website].2011.https:\/\/www.fda.gov\/downloads\/medicaldevices\/safety\/alertsandnotices\/ucm262760.pdfAccessedMarch 11 2019."},{"key":"e_1_2_7_8_1","volume-title":"Campbell\u2010Walsh Urology","author":"Wein A","year":"2012"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)00348-4"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181b13ca2"},{"key":"e_1_2_7_11_1","unstructured":"American Urological Association.Surgical Treatment of Female Stress Urinary Incontinence (SUI): AUA\/SUFU Guideline[AUA website].http:\/\/www.auanet.org\/guidelines\/stress-urinary-incontinence-(sui)-new-(aua\/sufu-guideline-2017). 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