Govier F E, Gibbons R P, Correa R J, Weissman R M, Pritchett T R, Hefty T R
Section of Urology and Renal Transplantation, Virginia Mason Medical Center, Seattle, Washington 98111, USA.
J Urol. 1997 Jan;157(1):117-21.
Various materials and techniques have been used to construct a pubovaginal sling. We believe that fascia lata has several advantages and report our experience.
A total of 32 female patients with urodynamically proved intrinsic sphincter deficiency underwent a pubovaginal sling procedure using fascia lata. An unscarred fascial strip 24 to 28 x 2 cm. was attached to itself over a 3 to 4 cm. bridge of abdominal wall fascia. Results were tabulated by chart review and an independent patient survey.
Chart review revealed that 28 of 32 patients (87%) required no pads, and 3 improved and 1 did not. An independent patient survey revealed that 70% of patients (21 of 30) required no pads, 20% required 1 to 3 small pads and 10% required more than 3 small pads per day. Of the patients 80% would undergo the procedure again.
Excellent results can be obtained with fascia lata for the treatment of intrinsic sphincter deficiency. A long, wide strip of fascia attached to itself allows for precise tensioning and good urethral closure, and minimizes the risk of obstruction.
