Levator ani midurethral support to treat stress urinary incontinence: description of technique and proof-of-concept

This proof-of-concept investigation reports the results of eight patients who, after declining mesh midurethral slings, were treated for stress urinary incontinence with levator ani midurethral support, a single vaginal incision technique. Seven patients had good subjective outcomes at 22 to 33 months. One patient had good subjective outcome for 14 months, followed by stress urinary incontinence recurrence. The peri-operative complications were temporary urinary retention at hospital discharge and urinary tract infection. Patients reported having no long-term complications. Results of this preliminary investigation suggest that this technique may be a reasonable alternative to other surgical procedures for stress urinary incontinence.