Methods:
We conducted prospective evaluation of patients with bothersome stress urinary incontinence who underwent laparoscopic mid-urethral autologous rectus fascial sling insertion (LMAFS). We included women 18 years of age or older, who had predominant symptoms of stress urinary incontinence, who failed conservative treatment. All patients filled the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-SF) questionnaire pre and post operatively. On examination, all patients had positive cough test, defined as leakage of urine with bladder filled to least 300 ml of urine (measured by ultrasound bladder volume evaluation). All patients had hypermobile bladder neck and urethra on coughing or maximum valsalva. All patients underwent urodynamic evaluation by multi-channel cystometry. All patients had urodynamic stress incontinence, with normal voiding and no evidence of detrusor overactivity. Post operatively, patients filled the Patient Global Impression of Improvement Questionnaire (PGII)5 and the ICIQ-SF. Success was defined as response of “very much better” or “much better” on PGII. All other responses were considered treatment failure. Institutional review board (IRB) approval was obtained prior to study, and informed consent was obtained from each participant.