In situ anterior vaginal wall sling.

PURPOSE The aim of this article is to review the indications, technique, and outcomes of the in situ anterior vaginal wall sling (AVWS) for treatment of female stress urinary incontinence. MATERIALS AND METHODS The operative techniques and the published literature on outcomes of the AVWS were reviewed. RESULTS Success rates in the range from 70% to 95% were noted. Some authors found that patients with a lower Valsalva leak point pressure (VLPP) had lower success rates than those with a higher VLPP. CONCLUSIONS The AVWS is a technically straightforward minimally invasive procedure for treatment of stress urinary incontinence that minimizes patient morbidity and avoids some of the potential problems associated with other sling materials.