A surgical guide and its use in medical procedures such as to treat female urinary incontinence are provided. The guide preferably includes a stem portion having a proximal end and a distal end and a cross-sectional shape having a recess therein along its length and first and second extension portions extending outwardly from opposites sides of the distal end of the stem portion. Each of said first and second extension portions further include a stationary portion that is fixedly coupled to the stem portion and a movable portion that is movably coupled to the stationary portion. The movable portions are movable relative to the respective stationary portions between a first position wherein the stem portions extends beyond the extension portions by a first distance and a second position wherein the stem portion extends beyond the extension portions by a second distance that is greater than the first distance.