Adjustable Incontinence Apparatus

In an exemplary embodiment an adjustable urethral sling includes a flexible mesh support having a mesh envelope at a suburethral potion and an expansion chamber within the mesh envelope. A conduit may be provided that extends along the flexible mesh support and that is in fluid communication with the expansion chamber. When installed in a patient the sling may loop under the urethra and out exit sites. An access port may be provided in a subcutaneous pocket and attached to the conduit to allow for remote expansion of the expansion chamber from a desirable location to allow adjustment of the sling with the patient in a standing position. The mesh envelope allows tissue ingrowth around the container so that the container can be expanded for a long period of time after implantation. The expansion chamber may be U-shaped to provide lateral closing pressure to the urethra when expanded.