Pubovaginal Sling


Women with stress urinary incontinence experience involuntarily loss of urine with coughing, exercising, laughing, lifting, rising from a chair of be and sneezing. A weak pelvic floor and a poorly supported uretheral sphincter cause stress incontinence. A “Sling” operation has evolved into a minimally invasive procedure to correct stress incontinence. A sling can be thought of as a “miniature hammock the size of a watch band” that is implanted through a vaginal incision to support the mid urethral portion of the pelvic floor. It can take 30 to 50 minutes to perform under spinal, or general anesthesia. A urinary catheter is often placed for 3-5 days and patients may in some cases return to driving 10 days after the procedure. Recovery from the procedure takes 3 to 4 weeks. Heavy lifting and sexual intercourse should be avoided for 4 to 6 weeks. Normal daily activity can resume within 1 to 2 weeks. A more common complication can be transient difficulty with bladder emptying and in rare cases the sling may have to be loosened with a minor procedure. Long term success rates are high and patients often comment on why they waited so long to address this embarrassing condition.


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