A method of post-operatively adjusting a urethral support in treating urinary incontinence of a woman is disclosed. The method includes passing a support through an incision and locating the support under a urethra. The support is a porous mesh adapted to allow tissue in-growth. The method include adjusting the support by applying tension to one of a first member that is secured to a first end of the support or a second member that is secured to a second end of the support. The first member and the second member each has an end that exits the skin. The first and second members are adapted to prevent tissue in-growth into the first member and the second member.