Editing Functional: Female SUI (section)

====== Outcomes ======
* '''Predominantly SUI'''
**'''No risk factors that consistently predict outcomes'''
** '''<span style="color:#ff0000">PVS are particularly helpful in treating ISD (in contrast to midurethral sling)'''
** '''The reported cure rate of PVS surgery for recurrent SUI is excellent'''
** '''Autologous PVS'''
*** '''Continence rate after PVS ranges from 61-97%'''; wide range due to variation in outcome definition
*** Postoperative de novo or urgency incontinence rates range from 2-21%
**** '''Most common reason for failure/patient dissatisfaction relates to urgency symptoms and urgency incontinence at follow-up'''
** '''Allograft PVS'''
*** Limited outcome data, and the '''efficacy and durability of these slings are questionable'''
*** Previously reported failures coupled with the consistent success and rapid adoption of synthetic MUSs has led to abandonment of all types of cadaveric allograft at most centers.
** '''Xenograft PVS'''
*** Because of the morbidity of autologous fascial harvest, high failure rates of allograft materials, and high exposure and perforation rates with synthetic PVSs, xenografts are an attractive option.
*** In general, they are associated with a low rate of infection, exposure, and perforation owing to their incorporation into host tissue cure rates comparable to those of the autologous sling.
*** '''In RCTs, porcine dermis was associated with significantly inferior long-term cure rates compared with the autologous PVS'''

* '''Autologous PVS for Mixed Urinary Incontinence'''
** '''Overall, PVS remains an effective treatment option for MUI with cure rates similar to those of simple SUI.'''
*** '''The treatment of patients with mixed urgency and SUI is complicated and often involves a combination of anticholinergic therapy and surgery'''
*** PVS is an effective treatment option for stress-induced DO with cure rates similar to those of simple DO.
*** '''Anti-incontinence surgery may cure or aggravate urgency symptoms or lead to de novo urgency. This aspect of anti-incontinence surgery is unpredictable and a major cause of patient dissatisfaction'''
*** '''The presence of residual urgency is similar to de novo urgency with a PVS.'''

* '''Autologous PVS for Urethral Reconstruction'''
** '''<span style="color:#ff0000">Autologous PVSs in the setting of urethral reconstruction (urethral fistula, urethral diverticulum, destroyed urethra) has excellent results when compared with other surgeries for incontinence'''