Suburethral sling materials: best outcome with autologous tissue.
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.
Simsiman
Amanda J
AJ
Division of Female Pelvic Medicine and Reconstructive Surgery, Kaiser Permanente Medical Center, San Diego, CA 92120, USA.
Powell
Curt R
CR
Stratford
Ryan R
RR
Menefee
Shawn A
SA
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*