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Updated: Jul 7, 2026

A Novel Surgical Technique in a Sheep Model for Suburethral Graft Implantation

A Novel Surgical Technique in a Sheep Model for Suburethral Graft Implantation

Published on: June 20, 2025

The evolution of midurethral slings.

David E Rapp¹, Kathleen C Kobashi

¹Section of Urology, Virginia Mason Medical Center, Seattle, WA 98111, USA. derapp@yahoo.com

Nature Clinical Practice. Urology

|March 5, 2008

Summary

Midurethral slings offer a safe and effective surgical treatment for stress urinary incontinence. While techniques vary, they provide durable outcomes for patients, representing a significant advance in care.

Area of Science:

Urology
Gynecology

Background:

Urinary incontinence treatment has evolved significantly since the early 20th century.
The integral theory guided the development of midurethral slings to restore suburethral support.
Since 1995, numerous midurethral sling types have been introduced, primarily using synthetic mesh.

Purpose of the Study:

To review the evolution and current status of midurethral sling procedures for stress urinary incontinence.
To assess the efficacy, durability, and safety of various midurethral sling techniques.

Main Methods:

Review of historical development and current literature on midurethral slings.
Analysis of common characteristics, technical modifications, and reported outcomes.
Examination of specific adverse effects associated with different techniques.

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A Novel Surgical Technique in a Sheep Model for Suburethral Graft Implantation

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Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy

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Vessel-sparing Excision and Primary Anastomosis

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Main Results:

Midurethral slings, typically using synthetic mesh without tension, are effective and durable treatments.
Various insertion techniques exist, but evidence suggests comparable outcomes across types.
Adverse effects are technique-specific, including risks of injury and voiding dysfunction.

Conclusions:

Midurethral sling procedures represent a notable advance in treating stress urinary incontinence.
Despite potential adverse effects, the overall safety profile remains favorable.
These slings provide a safe and efficacious surgical option for patients.