Single-Incision Mini-Slings (SIMS)
A major advancement in 2026 is the widespread adoption of the "Mini-Sling." Unlike traditional TOT or TVT procedures that require exit incisions in the skin of the groin or abdomen, the mini-sling is placed entirely through a single small incision inside the vagina.
The mini-sling is shorter and features specialized "anchors" on either end that fix it into the internal pelvic membranes. This results in significantly less postoperative pain and a faster return to daily activities. Because there are no external skin incisions, the risk of visible scarring or external site infection is virtually eliminated. This technique is particularly popular for patients with moderate SUI who require a less invasive intervention.
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