Comparison of Using Anterior Vaginal Wall and Cadaveric Fascia Lata in Sling Operation for the Management of Female Stress Urinary Incontinence

Koh, Jun Sung; Kim, Joon Chul; Hwang, Tae Kon

Abstract

PURPOSE: Sling procedures have become the gold standard for treating all types of stress urinary incontinence (SUI) in women because of their simplicity of procedure and good outcomes. We compared the outcomes of anterior vaginal wall sling with cadaveric fascia lata sling.
MATERIALS AND METHODS
Between October 1996 and April 2000, 43 women with SUI who were treated with anterior vaginal wall sling and 23 women with SUI who were treated with cadaveric fascia lata sling were analyzed. Mean follow-ups were 43.0 months (29-56) for anterior vaginal wall sling and 21.5 months (16-30) for cadaveric fascia lata sling. All patients were evaluated preoperatively with a detailed history, pelvic examination, urinalysis, voiding diary, and urodynamic study including Valsalva leak point pressure. Parameters of comparison included presence of stress incontinence, length of hospital stay, duration of catheterization, operation time, and complication and success rates.
RESULTS
The success rates, including satisfaction rates, were 83.7% in the anterior vaginal wall sling group and 82.6% in the cadaveric fascia lata sling group. The complication rates were 23.3% in the anterior vaginal wall sling group and 26.1% in the cadaveric fascia lata sling group.
CONCLUSIONS
Both procedures were equally effective in the management of female SUI with high cure rates and acceptably low complication rates. However, further long-term follow-up study of these procedures is required to determine the persistence of the good results in women with SUI.