ABSTRACT

The Mini-ArcTM American Medical Systems (AMS) sling procedure is the most recently introduced minimally invasive treatment for stress urinary incontinence (Fig. 6). As with TVTSecur, this procedure also reduces the risk of bowel or bladder injury and major bleeding, because it bypasses retropubic or transobturator needle passage altogether. This procedure uses the same concepts of the tension-free tape mid-urethral slings but involves a single vaginal incision (57).