Resumo

RIVERO-RODRIGUEZ, Wilmer et al. Cadaveric fascia lata allograft in treating stress urinary incontinence. Systematic review. Urol. Colomb. [online]. 2025, vol.34, n.3, pp.182-201.  Epub 02-Set-2025. ISSN 2027-0119.  https://doi.org/10.24875/ruc.24000059.

Stress urinary incontinence (SUI) is a common issue in women, posing health and economic challenges. Among surgical options, the use of cadaveric fascia lata (CFL) has been proposed, although its characterization and efficacy remain relatively unexplored. This review synthesized evidence on CFL compared to other grafts for treating SUI, based on a systematic review in Medline-PubMed and EMBASE (up to October 2023). Studies of any design and language addressing CFL use in SUI were included, selected, and independently evaluated by two reviewers. Due to variability in the information, a narrative synthesis was chosen over a meta-analysis. Nineteen studies (757 patients) were included, showing variations in CFL dimensions (2 cm wide and up to 25 cm long). The main processing techniques identified were solvent dehydration, lyophilization, and gamma irradiation. Two studies reported greater tensile strength of CFL compared to synthetic and autologous grafts, with better biocompatibility and a lower risk of erosion compared to synthetic slings. Failures due to material fragmentation (38%) and autolysis (20-27.8%) were documented. While some studies suggested benefits in hospital stay and complication rates, others questioned CFL durability. The findings on CFL efficacy in SUI are mixed, and further experimental or quasi-experimental studies with long-term follow-up are recommended to evaluate its effectiveness and safety as a surgical option for SUI management.

Palavras-chave : Urinary incontinence; Stress; Allograft; Fascia lata; Cadaver.

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