To evaluate outcomes of the utilization of the MiniArc® single incision sling for the treatment of female SUI at the time of cystocele/apical prolapse treatment with an anterior wall mesh attached apically to the SSL's. Single-center retrospective analysis of 60 consecutive cases. Urogynecology Tertiary Referral Center in Major US city Females with symptomatic≥Stage II anterior compartment prolapse with concomitant SUI Patients with urodynamic proven SUI had the MiniArc placed through a single incision at the mid-urethral level and the 8.5 cm sling was placed along the transobturator trajectory into the obturator internus muscles. The Anterior Elevate was placed through a single mid-vaginal incision with the graft attached apically to the sacrospinous ligaments with a novel minimally-invasive self-fixating tip. Average age was 70.8±6.1, parity 2.7±1.3. 38 of 60 patients were found to have SUI on urodynamic testing and had the MiniArc sling placed at time of Anterior Elevate procedure. Fifty percent of the slings were done under general anesthesia and 50% under regional. Avg EBL was 47 cc and length of stay 23 hours. There were no intra-op complications for sling placement. Average follow-up was 13.4 months. Objective cure rate for prolapse was 91.7% (≤StI). 53% of patients suffered from significant urge symptoms pre-operatively compared to 20% post-op (60% resolution of urge symptoms). DeNovo Urge occurred in 2.6% of patients. No patients complained of pain or dyspareunia due to the sling. One patient required sling loosening due to incomplete emptying. Cure rate for SUI was found to be 89.5%. Baseline IIQ-7 scores were 33.1±26.0 and f/u 16.1±28 and UDI-6 scores improved from 33.8±17.7 to 19.5±20.3 (p-value <0.001). There were no mesh extrusions identified. Mini-sling at time of anterior wall mesh (Anterior Elevate) for cystocele/apical prolapse was found to be a safe and effective procedure for concomitant SUI.