The fate of rectus fascia suburethral slings

Outcome After Anterior Vaginal Prolapse Repair

“…Point Ba 2 (0-5) 2 (0-8) -1 (-3, 1) -2 (-3, 0) .001/.001 Point C -3.5 (-6 to 7) -3 (-7 to 8) -8 (-5 to -10) -8 (-7 to -10) .001/.001 Point Bp -1.5 (-3 to 9) -2 (-3 to 8) -2 (-3 to 0) -3 (-3 to 0) .01/.001 TVL (cm) 10 (8-11) 10 (8-11) 9 (8-11) 9 (8)(9)(10)(11)(12) .03/.04 GH (cm) 6 (4-8) 6 (4-8) 5 (3-6) 5 (4)(5)(6) .53/.72…”

“…1,2 The low success rate has consequently led to widespread use of grafts in anterior vaginal prolapse repair. Although biologic grafts and polyglactin 910 mesh have yielded disappointing results, [1][2][3][4][5] uncontrolled studies have demonstrated low recurrence rates with polypropylene mesh reinforcement. 6 -8 The Perigee Transobturator Prolapse Repair System (polypropylene mesh repair, American Medical Systems, Minnetonka, MN) is used to repair anterior vaginal prolapse by a transobturator approach.…”

Long term follow up of the cruciate fascial sling for women with genuine stress incontinence

“…However, in one study, eight of 32 women required re-operation for recurrent incontinence and in seven of these there was histological evidence of degeneration of the allograft 73 . In contrast, in five women requiring revision of a rectus fascial sling there was no evidence of degeneration, even four years after placement 74 . Although animal experiments suggest that there is little difference in viability between free and pedicled rectus fascia 75 , we preferred to use pedicled strips as it obviates the need to attach the sheath at the abdominal end.…”

Outcome of Abdominal Sacrocolpopexy for Post Hysterectomy Vaginal Vault Prolapse

“…12 To avoid mesh erosion, the biologic graft : allograft fascia lata has been used as an alternative to mesh, but resulted in unexpected failures in which no mesh could be seen during reoperation. [13][14][15][16] In this study we adopted the same procedure of ASC using permanent synthetic polypropylene mesh.…”