Efficacy of Cadaveric Fascia Lata Patch Sling Procedure in Women with Stress Urinary Incontinence

Lee, Choong Hyun; Kim, Joong Ho; Shin, Myung Sik

Abstract

PURPOSE: The clinical outcome of a sling operation using a cadaveric fascia lata patch was evaluated to determine the efficacy and safety of the treatment for women with stress urinary incontinence (SUI).
MATERIALS AND METHODS
Thirty one patients with SUI, who were treated with a sling operation using a cadaveric fascia lata patch from June 1999, were analyzed. The preoperative evaluation included the patients' history, a physical examination, urinalysis, a urodynamic test, a Q-tip test and incontinence staging with the Stamey grade. The follow-up ranged from 4-24 months (mean 14.5). All patients were assessed for the outcome of the procedure, subjective satisfaction and complications.
RESULTS
Of the 31 women treated, 27 (87.1%) were satisfied with the treatment (16 dry, 11 improved). Mean operative time was 34.4 minutes and the mean hospital stay was 4.6 days. There were no complications related to the cadaveric fascia lata noted. De novo urgency developed in 4 (12.9%) patients.
CONCLUSIONS
The mean operation time, hospital stay, catheter drainage, and post-operative complications were significantly lower when using a cadaveric fascia lata patch sling procedure compared to the traditional pubovaginal sling operation. However, when compared with the other sling procedures, the short-term success rate is unsatisfactory. A longer follow-up study is needed.