Editing Functional: Female SUI (section)

====== Technique ======
* '''Graft Harvest for Autologous Pubovaginal Sling'''
** '''Closure of the rectus fascia without tension is sometimes problematic. To prevent this difficulty, it is important to maintain a distance of ≥2 cm from the pubic symphysis'''
** If undermining the fascial edges does not adequately mobilize the fascia, than interposition of a segment of synthetic mesh or graft may be necessary.
* '''Pubovaginal Sling Placement and Fixation'''
** '''The bladder must be completely drained before passage of the Stamey needles to avoid inadvertent bladder injury'''
** '''Perform a cystoscopy after trocar passage to ensure integrity of the bladder and at the time of sling tensioning to visualize the bladder neck'''
** '''A sling should never be tensioned before the weighted speculum is removed and the vaginal incision is closed.''' 
***Tensioning before this may result in failure of the procedure due to too much or too little tension. The abdominal incision is closed after the sling is tensioned.
** No suture fixation to the underlying periurethral fascia is necessary to anchor the sling