Current status of fascia lata allograft slings treating urinary incontinence: effective or ephemeral?
OBJECTIVE
The aim of this article is to review the current state and technique of pubovaginal sling construction using cadaveric allograft fascia lata.


METHODS
A MEDLINE search was conducted to identify articles in the current literature addressing applications of cadaveric allograft fascia lata for surgical reconstructive procedures.


RESULTS
Current series evaluating cadaveric fascia lata allografts for pubovaginal sling find equivalent short-term outcomes when compared to autograft fascia. Long-term follow-up is not yet available for these series. Variability in tissue processing or host factors may account for some failures with cadaveric fascial slings.


CONCLUSIONS
Cadaveric fascia lata allografts are associated with reasonable efficacy and safety. Longer follow-up is needed. Further study of the relationship between tissue processing methods, surgical techniques, host factors, and outcome is indicated to better assess the long-term role of cadaveric fascia lata allograft for pubovaginal sling.
Wright
E J
EJ
Urology Department, Johns Hopkins Bayview Medical Center, Baltimore, Maryland 21224, USA.
D005206:Fascia Lata / Q000637:transplantation*; D005260:Female; D006801:Humans; D014184:Transplantation, Homologous; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000601:surgery*