Poor surgical outcomes after fascia lata allograft slings

Citation
Tm. Soergel et al., Poor surgical outcomes after fascia lata allograft slings, INT UROGYN, 12(4), 2001, pp. 247-253
Citations number
22
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Reproductive Medicine
Volume
12
Issue
4
Year of publication
2001
Pages
247 - 253
Database
ISI
SICI code
Abstract
The objective of this retrospective case control study was to determine whe ther our poor surgical outcomes were associated with the material used to c onstruct our pubovaginal slings. Autologous rectus fascia was used in 33 pa tients and cadaveric fascia lata was used in 12 patients who underwent pubo vaginal sling placement for intrinsic urethral sphincter deficiency (ISD). Treatment was successful in 78.8% and 33.3% of patients who underwent rectu s fascia and fascia lata allograft slings, respectively (P=0.006). Based on regression analysis, the sling material was found to be strongly associate d with surgical outcome after controlling for all confounding variables (be ta coefficient = 1204.6, P <0.00005). We conclude that fascia lata allo,gra fts are a poor choice for pubovaginal slings.