ABSTRACT
Over the past decade the surgical treatment of woman with stress urinary incontinence has
undergone tremendous evolution. A number of studies evaluating urologists’ practice patterns
have demonstrated a clear shift from bladder neck suspensions, either retropubic or transvaginal,
to slings (1,2). While much of this may be due to a better understanding of the mechanisms of
stress urinary incontinence (SUI), in all likelihood the development of “minimally invasive”
sling procedures with less patient morbidity and which are easier for surgeons to perform has
significantly contributed to this shift in preferences as well.
