3.1
Single-incision short sling mesh insertion aims to reduce the risk of urinary leakage in women with stress urinary incontinence. It is considered when conservative options (see section 2.2) have been tried but incontinence persists. The procedure aims to minimise the risk of major adverse events such as bladder, vaginal, urethral and vascular perforations or erosions, and chronic pain that are associated with minimally-invasive sling procedures. The single-incision short slings have shorter tape lengths and different fixation systems to transobturator minimally-invasive slings. These fixation systems do not enter the retropubic space (minimising the risk of major vessel or visceral injury) or the lateral half of the obturator foramen (potentially reducing the risk of groin pain), but they are anchored in the obturator membrane or in the obturator muscles.