title: Suburethral sling materials: best outcome with autologous tissue.
abstract: OBJECTIVE
  This study was undertaken to assess the outcome of suburethral slings by type of sling material.
  
  
  METHODS
  A retrospective review of women who underwent a suburethral sling between January 1997 and January 2003 with autograft, allograft or xenograft materials. Objective failure was defined as urinary leakage with cough stress testing at any time after 3 months, postoperatively. Objective cure was defined as no leakage with a standing cough stress test with at least 200 mL bladder volume at a minimum of 12 months postoperatively. Data were analyzed using Student t, Wilcoxon rank sum, and Kaplan-Meier survival tests.
  
  
  RESULTS
  A total of 241 women were included in this study: 78 received autograft, 80 received allograft, and 83 received xenograft. Objective failure was 36% and 46% for allograft and xenograft, respectively compared with 13% for autograft (P < .001).
  
  
  CONCLUSIONS
  Autograft has a significantly higher cure rate when used for suburethral slings.
authors.affiliation: Division of Female Pelvic Medicine and Reconstructive Surgery, Kaiser Permanente Medical Center, San Diego, CA 92120, USA.
authors.forename: Amanda J
authors.initials: AJ
authors.lastname: Simsiman
authors.forename: Curt R
authors.initials: CR
authors.lastname: Powell
authors.forename: Ryan R
authors.initials: RR
authors.lastname: Stratford
authors.forename: Shawn A
authors.initials: SA
authors.lastname: Menefee
mesh_terms: D000328:Adult; D000818:Animals; D005205:Fascia / Q000637:transplantation*; D005260:Female; D006801:Humans; D008875:Middle Aged; D019736:Prostheses and Implants; D012189:Retrospective Studies; D013552:Swine; D014182:Transplantation, Autologous; D014183:Transplantation, Heterologous; D014184:Transplantation, Homologous; D014550:Urinary Incontinence, Stress / Q000601:surgery*