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Fascial Slings

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Female Pelvic Reconstructive Surgery

Abstract

Since the first pubovaginal sling (PVS) was described by VonGiordano in 1907 (Table 7.1),1 the PVS has evolved into the gold standard for the surgical treatment of female stress urinary incontinence (SUI) due to intrinsic sphincter deficiency (ISD) and is utilized as first line surgical therapy for SUI associated with urethral hypermobility. PVSs are placed beneath the proximal urethra and bladder neck to provide a hammock effect as well as direct urethral compression. The sling serves as a “backstop” to prevent urethral descensus and opening when increased intraabdominal pressure occurs.

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Authors
  1. Kathleen C. Kobashi
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  2. Gary E. Leach
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Editor information

Editors and Affiliations

  1. Department of Obstetrics and Gynaecology, St. George’s Hospital Medical School, London, UK

    Stuart L. Stanton FRCS, FRCOG, FRANZCOG (Hon)

  2. Department of Urology, Southwestern Medical Center at Dallas, Dallas, Texas, USA

    Philippe E. Zimmern MD, FACS

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© 2003 Springer-Verlag London Limited

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Kobashi, K.C., Leach, G.E. (2003). Fascial Slings. In: Stanton, S.L., Zimmern, P.E. (eds) Female Pelvic Reconstructive Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-0659-3_7

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  • DOI: https://doi.org/10.1007/978-1-4471-0659-3_7

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-85233-362-1

  • Online ISBN: 978-1-4471-0659-3

  • eBook Packages: Springer Book Archive

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