Editing AUA: Female SUI (2023) (section)

====== Autologous Fascia Pubovaginal Sling ======
* '''<span style="color:#ff0000">Involves the placement of autologous fascia lata or rectus fascia beneath the urethra to provide support</span>'''
**'''<span style="color:#ff0000">Procedure more morbid than MUS</span>'''
**Efforts to use other materials, such as porcine dermis and cadaveric fascia, as substitution for the autologous fascia have shown inferior results.
* '''<span style="color:#ff0000">Adverse events:</span>'''
*#'''<span style="color:#ff0000">Wound infection</span>'''
*#'''<span style="color:#ff0000">Seroma formation</span>'''
*#'''<span style="color:#ff0000">Ventral incisional or leg hernia depending on the fascial harvest site</span>'''
*'''<span style="color:#ff00ff">SISTEr (NEJM 2007)</span>'''
**Population: 655 women with SUI
**Randomized to autologous rectus fascia PVS vs. Burch colposuspension
** Results
***Success rates higher for PVS
*** Voiding dysfunction (63% vs. 47%, ''P'' < .001), UTI, difficulty voiding, and postoperative urgency incontinence higher for PVS
**[https://pubmed.ncbi.nlm.nih.gov/17517855/ Albo, Michael E., et al. "Burch colposuspension versus fascial sling to reduce urinary stress incontinence." ''New England Journal of Medicine'' 356.21 (2007): 2143-2155.]