A method for supporting the urethra of a female patient to treat urinary incontinence, comprising:
- providing a surgical implant including:
- an elongate polymer suburethral support having first and second opposite ends;
- and
- first and second elongate polymer soft tissue anchors connected to the first and second opposite ends of the suburethral support, each anchor having:
- a central portion with a proximal end;
- a conical tip on a distal end of the central portion, the tip having a truncated distal end, a proximal shoulder, and an introducing tool tip-receiving bore extending from the proximal shoulder through the truncated distal end;
- and
- a plurality of projections extending from the central portion at longitudinally spaced locations along the length of the central portion between the proximal and distal ends;
- and
- an elongated flexible member coupled to the proximal end of the first soft tissue anchor and the first end of the suburethral support;
- providing an introducer tool including:
- a handle;
- and
- an elongate and curved body extending from the handle, the body including:
- a narrowed portion on a distal end of the body, the narrowed portion sized to extend through the bore in the tip of at least one of the first and second anchors;
- an abutment on a proximal end of the narrowed portion for engaging the proximal shoulder on the anchor;
- and
- a tip on a distal end of the narrowed section that extends beyond the truncated distal end of the tip of the anchor when the narrowed portion of the body extends through the bore in the tip of the anchor;
- introducing the surgical implant into an incision made on an upper wall of the patient's vagina;
- mounting the first soft tissue anchor on the introducer tool, including extending the narrowed portion of the tool through the bore in the tip of the anchor to engage the shoulder of the anchor on the abutment of the body with the tip of the narrowed portion extending beyond the distal end of the tip of the anchor;
- operating the introducer tool with the mounted first soft tissue anchor to insert the first soft tissue anchor through the incision into soft tissue on a first side of the urethra, including pushing the tool along a curved path and causing a plurality of spaced projections on the first anchor to engage the tissue at a plurality of longitudinally spaced locations without penetrating the abdominal wall;
- removing the introducer tool from the patient after inserting the first soft tissue anchor, including withdrawing the narrowed portion of the body from the tip of the soft tissue anchor;
- mounting the second soft tissue anchor on the introducer tool, including extending the narrowed portion of the tool through the bore in the tip of the anchor to engage the shoulder of the anchor on the abutment of the body with the tip of the narrowed portion extending beyond the distal end of the tip of the anchor;
- operating the introducer tool with the mounted second soft tissue anchor to insert the second soft tissue anchor through the incision into soft tissue on a second side of the urethra, including pushing the tool along a curved path and causing a plurality of spaced projections on the second anchor to engage the tissue at a plurality of longitudinally spaced locations without penetrating the abdominal wall;
- removing the introducer tool from the patient after inserting the second soft tissue anchor, including withdrawing the narrowed portion of the body from the tip of the soft tissue anchor;
- adjusting the position of the suburethral support below the patient's urethra with the elongated flexible member;
- and
- securing the elongated flexible member to the first end of the suburethral support.