Use of cadaveric fascia lata to correct grade IV cystocele

Abstract

We describe a modification of the cadaveric prolapse repair and sling -CaPS technique that uses the sling surgery principles to correct grade IV cystocele. In this modification, the central and paravaginal defects reconstitution are performed using cadaveric fascia lata fixed over rectus abdominis muscle, eliminating the need of pubic fixation by screws, as proposed by the original technique. The modification described, besides presenting the benefits of CaPS, i.e., not using impaired tissues to reconstruct vesical support, and lower risks of perineal hypercorrection, also reduces the probability of complications of bone fixation.

Comparative study of polypropylene and aponeurotic slings in the treatment of female urinary incontinence

“…There was greater degradation of the cadaver fascia. Almeida et al (23) describe a modification of the cadaveric prolapse repair and sling using cadaveric fascia lata fixed over rectus abdominis muscle. After an average of 6 months they observed 65% cure rate of incontinence and 12% improvement of incontinence but did not report any degradation of the fascia.…”