Poor surgical outcomes after fascia lata allograft slings

The objective of this retrospective case control study was to determine whe ther our poor surgical outcomes were associated with the material used to c onstruct our pubovaginal slings. Autologous rectus fascia was used in 33 pa tients and cadaveric fascia lata was used in 12 patients who underwent pubo vaginal sling placement for intrinsic urethral sphincter deficiency (ISD). Treatment was successful in 78.8% and 33.3% of patients who underwent rectu s fascia and fascia lata allograft slings, respectively (P=0.006). Based on regression analysis, the sling material was found to be strongly associate d with surgical outcome after controlling for all confounding variables (be ta coefficient = 1204.6, P <0.00005). We conclude that fascia lata allo,gra fts are a poor choice for pubovaginal slings.