Abstract: An implantable device for treating a patient suffering from female urinary stress incontinence includes an elongate sling for supporting the urethra, the sling having first and second ends. First and second tabs extend from the first and second ends of the sling, respectively for engaging supportive tissue superior to the portion of the urethra being supported. Each tab has a ratcheted section of alternating relatively projecting and relatively recessed portions for engaging the supportive tissue.

Abstract: Described are methods and devices useful for treating pelvic prolapse, such as vaginal prolapse, the methods involving a tissue path that extends through pelvic floor (muscle) tissue.

Abstract: The single system ligature carrier and tissue clamp for sacrospinous colpopexy has an elongated body with a fixed handle on its proximal end. An additional movable handle is connected to a movable clamp jaw and a needle jaw on its distal end so that, at a distance, tissue can be engaged and pierced with a needle facilitated by clamp fingers passing a suture therethrough, as well as clamping and securing the embraced tissue. The positioning, clamping and suture penetration are accomplished by a single instrument.

Abstract: The adjustable variable length vaginal dilator is assembled from selected parts of parts of various length so as to achieve a selected desired length, and at least two of the parts are threaded. The distal threaded joint secures a selected length tip and the proximal adjustable threaded base provides infinite length adjustments between the main body coupler and the base. An intermediate extender may also be used for added length. The dilator permits self-treatment sessions over a long period of time that permits slow small interval stretching with maximum patient comfort. Another embodiment provides a tapered transition section and a tip of smaller diameter which is also of selectable length for more comfort during therapy and the like.