This video demonstrates a modified technique for autologous fascial sling insertion using the TVT (Tension-Free Vaginal Tape) approach, adapted for resource-limited settings. The case highlights a 56-year-old patient with severe stress urinary incontinence unresponsive to conservative treatment in Srilanka.
The technique involves harvesting a rectus fascial graft, placing it as a midurethral sling, and incorporating an innovative adjustment mechanism using external nylon sutures. This allows postoperative tension adjustments to avoid complications such as urinary retention or excessive laxity.
The patient's recovery and follow-up outcomes are detailed, showcasing the success of this modified method in achieving continence while minimizing surgical risks.
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