Worldwide, non-absorbable synthetic mid-urethral slings (MUS) are under surveillance by health authorities. It is required to re-(evaluate and to develop alternatives, particularly those using the patient's own tissue (autologous techniques). We report the case of a 53-year-old patient who underwent surgical implantation of the semitendinosus tendon in the mid-urethral space via a retropubic approach, as the patient refused the implantation of conventional synthetic material.

The tendon was harvested from the left knee via an anterior approach using a technique well-known by orthopedic surgeons and implanted as a retropubic MUS. The procedure, performed under general anesthesia in an outpatient procedure, was performed without per-operative complication. Post-operative bladder outlet obstruction symptoms disappeared after one week. The functional outcome and the patient reported outcome at 6 months follow-up were successful (PGI-I = 1, USP = 0/6/0, ICIQ-UI-SF = 0).