(Video Poster 21) Modification & Insertion of a Biologic Pubovaginal Sling for Stress Incontinence

Objectives: Stress urinary incontinence (SUI) is common, bothersome, and often requires surgery to treat. The synthetic midurethral sling (MUS) is the most common female anti-incontinence procedure. However, there may be clinical situations in which neither the MUS nor an autologous pubovaginal sling (PVS) is desired for the surgical treatment of SUI. The objective of this educational surgical video is to demonstrate techniques to prepare, modify, and insert a biologic PVS for treatment of SUI.

Methods: The preparation, modification, and insertion of a biologic PVS was videoed.

Clinical Relevance: SUI is a common condition that often requires surgical management. The use of a biologic PVS may be the best option for certain patients. This video describes the indications for a biologic pubovaginal sling and provides education on modifications and methods to ease its insertion with the goal of decreasing complications and increasing success rates.