Most types have excellent data showing over 90% success rates, with few complications.   Since most are made of permanent material, they should also last forever.

Risks

Urinary retention (low), pain with sexual activity (low), bleeding (low), and damage to the bladder or urinary tract (very low).

Pre-procedure preparation

None, other than standard outpatient surgery preparation. Sometimes a patient may be asked to perform preoperative urodynamics testing.

Procedure

All of the slings involve placement of a thin about 1/2 inch wide piece of material below the urethra, ie, just inside the opening to the vagina.   Most look like a thin, loosely woven piece of flexible tape.  The ends of the sling are passed through ligaments on the side of the pelvis using an introducer device; usually a hook.  They are often performed under a “twilight ” anesthesia; and when performed alone most patients go home right after the procedure.  Some patients, usually less than 10%, go home with a catheter for one or two days.  This is a decision your doctor will make.

Aftercare

After discharge office follow-up usually occurs in two to three weeks.  During this time you may perform most normal daily activities including showering and driving.

We ask that you avoid strenuous activities such as exercise or sexual activity in order that the sling may heal in the appropriate manner for 6 weeks.

Handouts and pamphlets will be available at your pre-operative visit that further describe your procedure.