Answer

Stress urinary incontinence is a commonly seen pathologic entity with a rate of 13% among women aged 19-44 years, and 22% among women aged 45-64 years (1,2). Unfortunately it is an underdiagnosed and underreported medical problem. SUI can be assessed with physical examination, leak abdominal pressure point, and some other tests. Patients must undergo basic evaluation with a voiding diary, cotton swab test, cough stress test, cystoscopy, post-voiding residual volume, and urodynamic studies. There are many treatment methods that are used for the treatment of patients with SUI. Basically, these methods can be divided into surgical and nonsurgical modalities. Duloxetine is a recent treatment choice as a medical treatment option and studies have shown its positive effects in treatment (3). Physical exercise also has positive effects and must be considered as a treatment option. Apart from these treatment modalities, surgery is also widely used in the treatment of SUI (4).  Pubovaginal sling is a commonly used surgical procedure because it has many advantages. This procedure has an excellent overall success and it is a good option with longer curative rates (5). Midurethral slings have been used more often than pubovaginal slings recently with good success rates because it has become the gold standard for the treatment of SUI (5,6). Despite the positive outcomes, sometimes there are complications regarding this procedure. Infection and abscess formation would be seen as serious complications. Sometimes these complications can be corrected via excision of mesh.