To the Editor: The advent of midurethral slings (MUSs) has revolutionised surgery for female stress urinary incontinence. An MUS is a narrow, synthetic (usually polypropylene) tape that is surgically placed beneath the middle part of the urethra, traversing either the retropubic space or the obturator foramina to provide dynamic support in order to restore urinary continence.
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Peter Dwyer is principal investigator of several randomised controlled trials of procedures for alleviating stress urinary incontinence, including pubovaginal slings, Burch colposuspension, urethral bulking and MUSs. He is also principal investigator of an ongoing randomised controlled trial involving a minisling, for which he has received a research grant from American Medical Systems.