HypothesisThis study hypothesizes that a suburethral sling, placed with minimal tension and no intent to alter urethral position, will restore the urethra to a more retropubic position in the same fashion as a urethropexy.Materials and MethodsTwenty-nine women were prospectively followed-up with during their evaluation and treatment for stress urinary incontinence. All of the patients underwent a pubovaginal sling with autologous abdominis rectus fascia. Using a cotton swab and goniometer, all patients had their resting urethrovesical angle measured before and at 1 and 3 months after surgery. The postoperative change in resting urethral angle in the patients was quantified and compared in three groups, which were divided based on the preoperative incontinence diagnosis.ResultsThe change in the resting urethrovesical angle caused by sling surgery was statistically significant. Preoperative incontinence diagnosis did not impact on the degree of the postoperative static urethral angle change.ConclusionA loosely tied sling alters the resting urethrovesical angle and increases suburethral support like a backboard while it also restores the urethra to a more retropubic position. This is similar to urethropexy.