{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T11:43:50Z","timestamp":1785325430401,"version":"3.55.0"},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T00:00:00Z","timestamp":1712534400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>There has been increased interest in using autologous tissues since the Food and Drug Administration banned transvaginal mesh for pelvic organ prolapse in 2019. Our study aims to assess patients\u2019 perspective of functional and cosmetic impact on the fascia lata harvest site in patients undergoing fascia lata harvest for the treatment of stress urinary incontinence (SUI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a prospective survey study of a retrospective cohort of patients who underwent a fascia lata pubovaginal sling between 2017 and 2022. Participants completed a survey regarding the functional and cosmetic outcomes of the harvest site.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy\u2010two patients met the inclusion criteria. Twenty\u2010nine patients completed the survey for a completion rate of 40.3%. For functional symptoms, 24.1% (7\/29) of patients reported leg discomfort, 10.3% (3\/29) reported leg weakness, 10.3% (3\/29) reported a bulge, 17.2% (5\/29) reported scar pain, 14.8% (4\/27) reported scar numbness, and 17.2% (5\/29) reported paresthesia at the scar. For cosmetic outcomes, 72.4% (21\/29) reported an excellent or good scar appearance. On the PGI\u2010I, 75.9% (22\/29) reported their condition as very much better (48.3%, 14\/29) or much better (27.6%, 8\/29).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The majority of patients reported being satisfied with the functional and cosmetic outcomes of their harvest site as well as satisfied with the improvement in their SUI. Less than 25% of patients report harvest site symptoms, including leg weakness, scar bulging, scar pain, scar numbness, or paresthesia in the scar. This is important in the context of appropriate preoperative discussion and counseling regarding fascia lata harvest.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25462","type":"journal-article","created":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T11:28:07Z","timestamp":1712575687000},"page":"1185-1191","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Cosmetic and functional impact of fascia lata harvest for use in surgery for stress urinary incontinence"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1842-9721","authenticated-orcid":false,"given":"Colin","family":"Johnson","sequence":"first","affiliation":[{"name":"Department of Urology University of Iowa Hospitals and Clinics Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annah","family":"Vollstedt","sequence":"additional","affiliation":[{"name":"Department of Urology University of Iowa Hospitals and Clinics Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Nakatsuka","sequence":"additional","affiliation":[{"name":"Department of Urology University of Iowa Carver College of Medicine Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Orzel","sequence":"additional","affiliation":[{"name":"Department of Urology University of Iowa Hospitals and Clinics Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2378-7806","authenticated-orcid":false,"given":"Elizabeth B.","family":"Takacs","sequence":"additional","affiliation":[{"name":"Department of Urology University of Iowa Hospitals and Clinics Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,4,8]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"FDA Public Health Notification: Serious Complications Associated with Transvaginal Placement of Surgical Mesh in Repair of Pelvic Organ Prolapse and Stress Urinary Incontinence.Public Health Notification. 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