Retropubic autologous semitendinosus tendon transplant for female stress urinary incontinence treatment: A case report.
Anne Baumelou-Naudi, Xavier Bayle, Xavier Deffieux
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Case in brief
A 53-year-old woman with stress urinary incontinence declined conventional synthetic sling material and underwent retropubic mid-urethral sling placement using her own semitendinosus tendon, harvested from the left knee. The outpatient procedure under general anesthesia had no reported intraoperative complication. Postoperative bladder outlet obstruction symptoms resolved after one week. At six months, functional and patient-reported outcomes were successful (PGI-I=1, USP=0/6/0, ICIQ-UI-SF=0).
What made this case unusual
The sling was fashioned from autologous semitendinosus tendon harvested from the knee and placed through a retropubic approach, offering a non-synthetic option for a patient who refused conventional synthetic material.
Diagnostic / clinical pearl
When a patient declines synthetic sling material, this case describes retropubic mid-urethral sling placement using autologous semitendinosus tendon, with successful reported outcomes at six months.