To report our 10 year experience with replacing the vaginal mesh with a fascia lata hammock autograft.

We analyzed outcomes of the fascia lata hammock procedures performed by a single surgeon between 2005 and 2017. The vaginal examination was described using the pelvic organ prolapse quantification (POP-Q) system.

The study included 24 patients. Mean age was 57.2 (95% CI 53.2-61.2). Mean number of days to Foley catheter removal was 3.2 days (95% CI 1.6-4.9) and mean number of days to drain removal was 10.9 days (95% CI 9.9-12.0). In the two weeks following the surgery, no leg seroma, infection or numbness was reported. No major complications occurred as a result of the fascia lata harvest. UTI occurred in 4 (16.7%) of the participants post-operatively. At three month follow-up, mild urinary symptoms were reported in 5 participants (20.8%). At one year follow-up, all but one participant were asymptomatic of pelvic organ prolapse. Paired t-test analysis revealed significant retraction of Aa and Ba vaginal points (p<.001). C, GH and PB points were also significantly retracted.

Pelvic organ treatment was successful in majority of our patients based on POP-Q examination. Complications were very rare in our set of participants.

Fascia lata autograft is a promising replacement to synthetic mesh in patients undergoing reoperation due to vaginal mesh complications. The safety and efficacy of this procedure was high in our study.