Abstract
Objective: Synthetic mesh mid urethral slings (MUS) are considered the current gold standard treatment for stress urinary incontinence (SUI). Since it was first described by Ulmsted et al. in 1996, the retropubic tension free vaginal tape (TVT) has been extensively researched, with numerous high-quality trials demonstrating a good safety profile with high long-term efficacy. Nevertheless, recent high profile lawsuits and subsequent media attention surrounding vaginal mesh products for treatment of prolapse has placed pressure to ban all mesh products including the MUS. American and Australian Gynaecological societies have released position statements supporting the use of MUS, however highlighting the importance of obtaining appropriate surgical training and knowledge of operative complications.
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