Autologous fascial sling for female stress urinary incontinence

The autologous fascia pubovaginal sling remains an excellent choice for the treatment of female stress urinary incontinence (SUI), nearly four decades after it was first popularized. We contend that the autologous sling should be offered to all women considering surgical treatment for SUI as one of several available options. As one might expect, proper technique and training is required for an optimal outcome. This chapter focuses on indications, proper surgical technique, postoperative care, outcomes and adverse events of this procedure.