Abstract: Objective To evaluate the efficacy and safety of polypropylene suburetheal tape via obturator route to treat female stress urinary incontinence. Methods 230 women diagnosed of stress urinary incontinence (SUI) were treated with middle urethra sling via obturator route with self-made polypropylene tape, from March 2005 to December 2013. All patients’ surgical procedure and follow-up information were analyzed. Resuis All the operations were done in the status of intravenous anethesia or caudal block. The mean operating time was 20 minutes ,the mean blood loose were 30 ml. 230 patients can urinate automatically after pulling out urine duct at 24 hours post-operation, 30 patients complicated with residual urine more than 100ml, and no urinary incontinence symptoms were recurred in 6-12 months of following up. These 30 patients were asked to keep catheterization for another 48hours, and found out recovered themselves. Conclusionsd ue to easy sling adjusting, short recover duration, self-made polypropylene tape middle-urethra slingplasty via obturator route is a safe and high efficiency procedure for treating female stress urinary incontinence.

Key words: mesh, stress urinary incontinence, surgery