Mid urethral sling operation is the most effective surgical procedure for the stress urinary incontinence. Unfortunately, cost is a major drawback for the commercially available slings. Most of the government hospitals in India doesn’t provide commercially available sling but polypropylene mesh is widely available for the hernia surgery. If we cut a longitudinal strip f 1.5 cm breadth from the Polypropylene macroporous (>40 micron) mesh 6’ X 3’ mesh and apply over the mid urethra then the cost can reduce where the resource is limited. The rest part of the mesh for future use can be preserved aseptically. So, from a single mesh of 6’ X 3’ size we can serve up to five patients.

Key Words: Mid-urethra, sling, stress urinary incontinence

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