Method of treating urinary incontinence in a patient by placing a sling in a single vaginal incision

A method of treating urinary incontinence in a patient, the method comprising:

• providing a sling assembly comprising:
• a sling, a first interconnecting member coupled to the sling, an adjustable anchor slideably coupled to the first interconnecting member, a second interconnecting member coupled to the sling, and a fixed anchor fixedly coupled to the second interconnecting member, where the adjustable anchor comprises a body and a collar surrounding the body with the first interconnecting member positioned between the body and the collar to configure the adjustable anchor to bidirectionally slide along the first interconnecting member in directions toward the sling and away from the sling;
• making a vaginal incision in the patient;
• placing the fixed anchor on a tip of a first tool and positioning the fixed anchor with the tip of the first tool exiting a top portion of the fixed anchor;
• passing the fixed anchor and the tip of the first tool into the vaginal incision and along a first path around and posterior to a first descending pubic ramus of the patient;
• advancing the fixed anchor and the tip of the first tool into and penetrating obturator tissue of a first obturator of the patient;
• removing the tip of the first tool from the patient and leaving the fixed anchor in place within the patient;
• placing the adjustable anchor on a tip of a second tool and positioning the adjustable anchor with the tip of the second tool exiting a top portion of the adjustable anchor;
• passing the adjustable anchor and the tip of the second tool into the vaginal incision and along a second path around and posterior to a second descending pubic ramus of the patient;
• advancing the adjustable anchor and the tip of the second tool into and penetrating obturator tissue of a second obturator of the patient;
• removing the tip of the second tool from the patient and leaving the adjustable anchor in place within the patient;
• and
• adjusting the sling relative to a position under a urethra of the patient by sliding the first interconnecting member between the body and the collar of the adjustable anchor.