Midurethral minimally invasive sling procedures for stress urinary incontinence.

OBJECTIVE To provide an update on currently used minimally invasive surgical treatments for stress urinary incontinence in women: tension-free vaginal tape (TVT) procedure, transobturator tape (TOT) procedure, and other midurethral sling devices. OPTIONS The discussion is limited to minimally invasive surgical management of stress urinary incontinence in women. EVIDENCE A search of PubMed and Cochrane library for articles published in English before the end of February 2008 identified the most relevant literature. Recommendations were made according to the guidelines developed by the Canadian Task Force on Preventive Health Care. VALUES This update is the consensus of the Sub-Committee on Urogynaecology of the Society of Obstetricians and Gynaecologists of Canada. BENEFITS, HARMS, AND COSTS Counselling for the surgical management of urinary incontinence should consider all benefits, harms, and costs of the surgical options.