Arcus to arcus microsling: technique and preliminary results

Sling procedures have been around for decades in the management of female stress urinary incontinence (SUI), but only in the past decade have they become the preferred technique. The arcus to arcus microsling is an anatomical approach that involves placing a midurethral low-tension tape anchored to the obturator internus muscles bilaterally at the level of the tendinous arc. From February 2005 to July 2006, 20 female patients (mean age=53 years old) with SUI underwent arcus to arcus microsling procedure. Of these, 18 were available for a minimum follow-up of 12 months. After 12 months, 16 (88%) patients were dry, 1 (5.5%) improved, and 1 (5.5%) was incontinent. The arcus to arcus microsling is emerging as a promising option in the management of women with SUI.