ABSTRACT
Pubovaginal sling cystourethropexy has recently become one of the primary surgical treatment
options for women with urinary incontinence. The procedure has evolved over time with regard
to clinical indications, patient selection criteria, surgical techniques, and sling materials. This
chapter reviews the historical development of pubovaginal sling cystourethropexy using fascia
lata. The selection of graft materials is considered and the utility of fascia lata emphasized.