Tags

Type your tag names separated by a space and hit enter

Cadaveric versus autologous fascia lata for the pubovaginal sling: surgical outcome and patient satisfaction.
J Urol. 2000 Nov; 164(5):1633-7.JU

Abstract

PURPOSE

We report our initial experience with cadaveric fascia lata in pubovaginal sling procedures.

MATERIALS AND METHODS

We compared 121 consecutive women who underwent a sling procedure using cadaveric fascia lata from February 1997 through June 1999 (group 1) with 46 consecutive women who underwent a sling procedure using autologous fascia lata from May 1994 through July 1997 (group 2).

RESULTS

Mean followup was longer in group 2 (44 versus 12 months). A total of 104 of the 121 group 1 patients (86%) responded to the questionnaire, of whom 85% were cured of stress incontinence, 83% reported overall improvement in urinary control and 74% had no or minimal leakage not requiring pads. Median catheterization time was 9 days (range 4 to 120). Overall 89% of the women were satisfied with the results and 83% would recommend this surgery. A total of 30 of the 46 group 2 patients (65%) responded to the questionnaire, of whom 90% were cured of stress incontinence, 90% reported overall improvement in urinary control and 73% had no or minimal leakage not requiring pads. Median catheterization time was 14 days (range 6 to 180). Overall 90% of the women were satisfied with the results and 83% would recommend this surgery.

CONCLUSIONS

Cadaveric fascia lata pubovaginal slings appear to be safe. Early experience suggests that cadaveric fascia lata may be considered an alternative to autologous fascia. Cadaveric and autologous fascia lata appear to have a high success rate.

Authors+Show Affiliations

Department of Urology and Renal Transplantation, Virginia Mason Medical Center, Seattle, Washington 98111, USA.No affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

11025722

Citation

Brown, S L., and F E. Govier. "Cadaveric Versus Autologous Fascia Lata for the Pubovaginal Sling: Surgical Outcome and Patient Satisfaction." The Journal of Urology, vol. 164, no. 5, 2000, pp. 1633-7.
Brown SL, Govier FE. Cadaveric versus autologous fascia lata for the pubovaginal sling: surgical outcome and patient satisfaction. J Urol. 2000;164(5):1633-7.
Brown, S. L., & Govier, F. E. (2000). Cadaveric versus autologous fascia lata for the pubovaginal sling: surgical outcome and patient satisfaction. The Journal of Urology, 164(5), 1633-7.
Brown SL, Govier FE. Cadaveric Versus Autologous Fascia Lata for the Pubovaginal Sling: Surgical Outcome and Patient Satisfaction. J Urol. 2000;164(5):1633-7. PubMed PMID: 11025722.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cadaveric versus autologous fascia lata for the pubovaginal sling: surgical outcome and patient satisfaction. AU - Brown,S L, AU - Govier,F E, PY - 2000/10/12/pubmed PY - 2001/2/28/medline PY - 2000/10/12/entrez SP - 1633 EP - 7 JF - The Journal of urology JO - J Urol VL - 164 IS - 5 N2 - PURPOSE: We report our initial experience with cadaveric fascia lata in pubovaginal sling procedures. MATERIALS AND METHODS: We compared 121 consecutive women who underwent a sling procedure using cadaveric fascia lata from February 1997 through June 1999 (group 1) with 46 consecutive women who underwent a sling procedure using autologous fascia lata from May 1994 through July 1997 (group 2). RESULTS: Mean followup was longer in group 2 (44 versus 12 months). A total of 104 of the 121 group 1 patients (86%) responded to the questionnaire, of whom 85% were cured of stress incontinence, 83% reported overall improvement in urinary control and 74% had no or minimal leakage not requiring pads. Median catheterization time was 9 days (range 4 to 120). Overall 89% of the women were satisfied with the results and 83% would recommend this surgery. A total of 30 of the 46 group 2 patients (65%) responded to the questionnaire, of whom 90% were cured of stress incontinence, 90% reported overall improvement in urinary control and 73% had no or minimal leakage not requiring pads. Median catheterization time was 14 days (range 6 to 180). Overall 90% of the women were satisfied with the results and 83% would recommend this surgery. CONCLUSIONS: Cadaveric fascia lata pubovaginal slings appear to be safe. Early experience suggests that cadaveric fascia lata may be considered an alternative to autologous fascia. Cadaveric and autologous fascia lata appear to have a high success rate. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/11025722/Cadaveric_versus_autologous_fascia_lata_for_the_pubovaginal_sling:_surgical_outcome_and_patient_satisfaction_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-5347(05)67046-2 DB - PRIME DP - Unbound Medicine ER -