Cadaveric fascia lata sling for stress urinary incontinence: a prospective quality-of-life analysis.
OBJECTIVE
The purpose of this study was to describe the effects of full-length cadaveric fascia lata (CFL) sling on quality-of-life outcomes.


METHODS
Patients were 102 women (aged 29 to 87 years) who underwent the sling procedure for stress incontinence associated with intrinsic sphincter deficiency. They were followed up at 12, 24, 36, and 48 months with the Incontinence Impact Questionnaire (IIQ-7), Urogenital Distress Inventory (UDI-6), and a patient satisfaction questionnaire.


RESULTS
Mean IIQ score declined from 55.1 before surgery to 11.0 at 12 months (P<.001). Mean UDI score declined from 67.1 to 28.0 at 12 months (P<.01). At 12 months, 79.7% of patients reported that leakage was better or much better, and 90.2% reported that they were somewhat or completely satisfied with their progress. Results were maintained throughout the 48-month follow-up period.


CONCLUSIONS
The CFL sling procedure has an enduring beneficial effect on lower urinary tract symptoms and quality of life.
Richter
Holly E
HE
Division of Medical Surgical Gynecology, Department of Obstetrics and Gynecology, University of Alabama at Birmingham, 620 20th Street South, NHB 219, Birmingham, AL 35249-7333, USA. hrichter@uabmc.edu
Burgio
Kathryn L
KL
Holley
Robert L
RL
Goode
Patricia S
PS
Locher
Julie L
JL
Wright
Kate Clark
KC
Varner
R Edward
RE
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002102:Cadaver; D015331:Cohort Studies; D005206:Fascia Lata / Q000637:transplantation*; D005260:Female; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D011336:Probability; D011446:Prospective Studies; D011788:Quality of Life; D020127:Recovery of Function; D018570:Risk Assessment; D014019:Tissue Donors; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000175:diagnosis / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*