ABSTRACT

The procedure is routinely performed via the vaginal route with a 1.5 cm vaginal incision; two small suprapubic stab incisions (<5 mm) require no fixation. It can be completed in 20-25 minutes and is the first sling that is adjusted intraoperatively in a tension-free manner with a cough stress test. This objective adjustment is thought to contribute to its success rate and reduce postoperative voiding dysfunction.