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Abstract SUMMARY Stress urinary incontinence (SUI) is a common psychosocial problem that affect about 4-35% of adult female with higher rates in elderly women and defined by the International Continence Society (ICS) as the involuntary leakage of urine on exertion, sneezing or coughing.There are two main theories that explain the pathophysiology of stress urinary incontinence; urethral hypermotility because of weakness in urethral support and intrinsic sphinctric deficiency, both mechanisms usually present together and affect selection of proper surgical treatment. There are a multiple options of treatments offered for SUI but the most durable and effective method is midurethral sling. Slings are usually inserted via two routes; transobturator and retropubic route. Slings come in two types of materials; synthetic or autologous material, the autologous sling, obtained from the fascia lata, was first described in the 1930s, while the first use of rectus fascia sling was in the 1940s. A fifty years later, Raz et al, first described the vaginal wall slings with reports of a 94.4% success rate at 4 years. However, in 1998s, because of the benefits of reducing harvest site morbidities which result in a shorter operating time and hospital stay, the usage of autologous slings has decreased due to the use o |