Mid urethral slings are now the main treatment modality for stress urinary incontinence. The journey from retropubic to trans obturator to singe incision slings has been subjected to numerous research projects – some good, some not so good.

The data on intrinsic sphincter deficiency has seen a swing away from trans obturator slings towards retropubic slings. But has retraining of the surgeon occurred for this swing as well?

‘Ambulatory’ surgery means either a ‘day surgery setting’ in Australian terms or ‘office setting’ in American terms. Ambulatory surgery has numerous advantages for the patient, hospitals and the health dollar. But what makes ambulatory surgery in  the treatment of stress urinary incontinence successful?

This paper discusses patient selection, anaesthesia, analgesia, surgical tips,  trial of void protocols and follow up as key steps to successful ambulatory surgery for stress urinary incontinence.