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There are a variety of ways to treat female incontinence with or without pelvic prolapse. New medications are on the horizon and minimally invasive treatments are currently available. We are proficient in the use of periurethral bulkening agents (collagen and durasphere), various sling procedures, artificial urinary sphincters and bladder neck suspension procedures. Currently, the prolene mesh slings, such as TVT and SPARC, are the preferred approach, but new obturator slings, that utilize a similar mesh but are placed in a different location, may have advantages for select patients