Slings

Doctor-going-over-sling-procedure

Slings can provide extra support to keep urine from leaking when sneezing, laughing, or coughing.

Urinary incontinence (UI) occurs when bladder control is disrupted and urine leaks unintentionally.

  • Bladder contractions are controlled by spinal nerves
  • Stress urinary incontinence may occur during physical activities
  • Surgical treatment may be considered if conservative methods fail

Why Sling Procedures Are Used

Designed to treat stress urinary incontinence
Helps support the bladder and urethra
Often recommended when other treatments are ineffective
Doctor-preparing-patient-for-sling-procedure

The purpose of a sling procedure is to lift and support the bladder so the urethra remains properly positioned. By stabilizing this area, the risk of urine leakage during actions such as sneezing, laughing, or coughing can be reduced. Slings are typically made from synthetic mesh, donor tissue, or tissue taken from the patient’s own body. The sling acts like a hammock placed beneath the urethra to provide additional support.

Types of Sling Procedures

Several sling techniques may be used depending on the patient’s condition. These procedures vary based on incision size and sling placement.
1
Retropubic sling: An incision is made inside of the vagina by the urethra. Additionally, small openings are made by the pubic bone to allow for the insertion of a needle to place the sling. The openings may be sealed or stitched after the sling is in place.
2
Transobturator sling: A transobturator sling procedure involves a smaller incision than what’s used with a retropubic sling. In addition to vaginal incisions, openings are created by the labia for the needle that’s used to place the sling under the urethra.
3
Single-incision sling: A single incision is made in the vagina with this procedure. The sling is placed through this small incision.

Conventional Slings

Vaginal incision to place the sling
Additional abdominal incision
Sling secured with sutures
Designed to provide long-term support

Conventional sling procedures involve slightly larger incisions than tension-free sling techniques. An incision is made in the vagina to position the sling near the bladder neck, and another incision may be made through the abdomen. The sling is then tightened and secured with stitches to pelvic tissues or the abdominal wall to create proper tension and support.

Recovery After Surgery

Healing usually takes several weeks
Strenuous activity should be avoided
Follow-up care monitors recovery

Recovery after a sling procedure typically takes about two to four weeks, although healing may take longer when larger incisions are required. Patients are generally advised to avoid heavy lifting or strenuous activities while tissues heal. Most individuals experience minimal complications, and the procedure is considered a safe and effective option for many patients with stress urinary incontinence.

Doctor-discussing-sling-wit-female-patient
Additional Treatment Considerations
1
Stress Incontinence Risk
Stress urinary incontinence is commonly seen in younger and middle-aged women.
2
Alternative Procedures
Some patients may benefit from injectable treatments that add bulk around the urethra.
3
Treatment Planning
A urologist can help determine which treatment option is most appropriate based on the patient’s symptoms and overall health.