{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T05:59:38Z","timestamp":1790315978877,"version":"4.1.0"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["LUTS"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the preliminary safety, feasibility, and short\u2010term outcomes of the autologous transobturator fascia lata sling for female SUI to our knowledge the first series using fascia lata via a transobturator route, in view of the mesh\u2010related complications of synthetic midurethral slings and the limitations of rectus fascia harvest in women with prior abdominal surgery, central obesity, or scarred fascia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Prospective single\u2010arm pilot feasibility and safety study of 40 women with SUI or stress\u2010predominant mixed urinary incontinence (MUI) who underwent autologous transobturator fascia lata sling at Al\u2010Azhar University Hospitals (June 2023 to May 2025; NCT05646745). Outcomes were assessed at 24\u2009h, 2\u2009weeks, and 3\u2009months using the cough stress test, ICIQ\u2010FLUTS questionnaire, and VAS pain scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean age was 48.9\u2009\u00b1\u20097.8\u2009years; BMI 31.4\u2009\u00b1\u20094.1\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      . At 3\u2009months, the overall success rate (cured\u2009+\u2009improved) was 87.5%, and the objective cure rate (negative cough stress test) was 72.5%. ICIQ\u2010FLUTS incontinence score decreased from 12.75\u2009\u00b1\u20093.41 to 3.23\u2009\u00b1\u20092.91 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001, Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20092.79); incontinence QOL from 35.88\u2009\u00b1\u20095.83 to 4.50\u2009\u00b1\u20097.22 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001,\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20095.38). No voiding dysfunction, sling erosion, or major complications occurred. Grade I incontinence achieved 100% success. Thigh and groin pain resolved by 3\u2009months in 92.5% and 100%, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This preliminary exploratory study suggests that autologous transobturator fascia lata sling is a feasible and promising mesh\u2010free technique for female SUI with favorable short\u2010term outcomes at 3\u2009months. These results must be interpreted cautiously given the small sample size, short follow\u2010up, and absence of a control group. Longer follow\u2010up, multicenter validation, and randomized comparative studies are warranted.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link>\n                      : NCT05646745\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/luts.70085","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T01:24:45Z","timestamp":1785288285000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Autologous Transobturator Fascia Lata Sling for Female Stress Urinary Incontinence: A Pilot Feasibility and Safety Study"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7794-5948","authenticated-orcid":false,"given":"Mohamed Fawzy Abdelfattah","family":"Salman","sequence":"first","affiliation":[{"name":"Department of Urology, Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3393-9105","authenticated-orcid":false,"given":"Atef A.","family":"Hassan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isaac Samir","family":"Wasfy","sequence":"additional","affiliation":[{"name":"Urology Department, Faculty of Medicine Suez Canal Ismailia University  Ismailia Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hazem","family":"Deif","sequence":"additional","affiliation":[{"name":"Urology Department, Faculty of Medicine Al\u2010Azhar University  Assiut Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdelrahman A.","family":"Hassan","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9467-0544","authenticated-orcid":false,"given":"Mohamed A.","family":"Hindawy","sequence":"additional","affiliation":[{"name":"Urology Department, Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdalla Mohamed Abdalla","family":"Hassan","sequence":"additional","affiliation":[{"name":"Urology Department, Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed M.","family":"Ali","sequence":"additional","affiliation":[{"name":"Urology Department, Faculty of Medicine Al\u2010Azhar University  Assiut Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim","family":"Abdel\u2010Al","sequence":"additional","affiliation":[{"name":"Urology Department, Faculty of Medicine Al\u2010Azhar University  Assiut Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayman K.","family":"Koritenah","sequence":"additional","affiliation":[{"name":"Urology Department, Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarek M.","family":"Abuelazayem","sequence":"additional","affiliation":[{"name":"Urology Department, Faculty of Medicine Al\u2010Azhar University  Assiut Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1592-8972","authenticated-orcid":false,"given":"Hassan Kotb Mohamed","family":"Keritna","sequence":"additional","affiliation":[{"name":"Urology Department, Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010009\u20100976\u20109"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2017.42"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD006375.pub3"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000863"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13224\u2010020\u201001408\u20103"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2025.03.049"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/CU9.0000000000000225"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.21037\/jovs\u201024\u201039"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000761"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2003.12.027"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.25462"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24599"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.5152\/tud.2018.83797"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12804"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.23278"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aju.2018.05.002"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.25593"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2025.114843"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/luts.70000"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2014.08.125"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.16755"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics15202611"}],"container-title":["LUTS: Lower Urinary Tract Symptoms"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/luts.70085","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/luts.70085","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/luts.70085","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T05:27:35Z","timestamp":1790314055000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/luts.70085"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,28]]},"references-count":22,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/luts.70085"],"URL":"https:\/\/doi.org\/10.1111\/luts.70085","archive":["Portico"],"relation":{},"ISSN":["1757-5664","1757-5672"],"issn-type":[{"value":"1757-5664","type":"print"},{"value":"1757-5672","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,28]]},"assertion":[{"value":"2026-03-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70085"}}