Autologous Slings

Until the 1950s, only autologous tissue such as rectus fascia or fascia lata was available for transposition beneath the urethra. Autologous materials are generally associated with less urethral erosion and are easily shaped. The disadvantages of using such materials include increased operating time, morbidity, and discomfort caused by harvesting of the graft. Cosmesis may also be an issue for many patients. Furthermore, the patient's own tissue may have insufficient strength to withstand substantial forces as a consequence of aging and hypoestrogenicity.

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