This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
[{'content': 'All of the following is used in treatment of women having stress incontinence associated with intrinsic sphincter deficiency, except \nSelect and explain. \nA. Pubovaginal slings, B. Urethral bulking agent injection, C. Tension - free vaginal tape, D. Needle suspension procedures', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Needle suspension is where proximal urethra is suspended by anterior abdominal wall.\nIt has low long - term success rates, so no longer recommended.', 'role': 'assistant'}]