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The autologous fascia pubovaginal sling for complicated female stress incontinence.
Richter acknowledged that there is a growing trend toward the use of midurethral slings for the treatment of SUI, but noted that "there are still a significant number of surgeons that adhere to using the gold standard Burch and pubovaginal sling," both nationally and worldwide.
Perhaps the most notable is the SISTEr Trial comparing the Burch to the autologous pubovaginal sling (PVS).
That's why the quoted high initial success rates-often 80%-90%--for the Burch procedure, variations on the pubovaginal sling operations, needle suspensions, and other traditional procedures often give way to a mere 50% or so long-term cure rate without subsequent problems.