**8.1 Preparation of self-fashioned mesh**

The self-fashioned mesh is a polypropylene mesh from Gynemesh PS (10 cm in width and 15 cm in length; 300 USD a piece; Gynecare, Ethicon inc., Somerville, NJ, USA)(Su et al. 2009). The mesh is trimmed in the shape of a body with a pair of arms (shown in Figure 1)

Fig. 1. The mesh is trimmed in the shape of a body with a pair of arms (B) from a Gynemesh PS (A)

Suburethral Slingplasty Using a Self-Fashioned Mesh

Fig. 3. Stamey needle is introduced through the suprapubic space.

Fig. 4. The Stamey needle tip is advanced laterally into the retropubic tunnel that was

created before and passed through this fibromuscular layer.

for Treating Urinary Incontinence and Anterior Vaginal Wall Prolapse 225

and the size of the mesh is tailored to fit the patient. The length of the mesh can be adjusted according to the length of the patient's anterior vaginal wall since the end of the mesh is anchored to the vaginal apex or pubocervical fascia. The bilateral ends of the mesh are sewn using an absorbable 1-0 Vicryl suture (Ethicon inc., Somerville, NJ, USA) using a Stamey needle for the following procedures (Figure 2).

Fig. 2. The bilateral ends of the mesh are sewn using an absorbable 1-0 Vicryl suture (A). Prepared self-fashioned mesh and Stamey needles (B)
