During the most common sling procedure, your surgeon will take a strip of your body tissue, either from your stomach or your thigh to make the sling. Slings might also be made from donor tissue or plastic material that is compatible with body tissues. Then they make a small cut between the scrotum and anus and put the sling around part of the urethral bulb the enlarged end of the urethra in men.
As it heals the scar tissue forms around it to hold the sling in its place. The sling will squeeze and lift the urethra, which helps prevent leaks. This type of surgery can also be used to treat urinary incontinence in women.
The surgeons make two cuts, one in the vagina and one in the belly. The sling will be stretched through the cut in the stomach, then stitched to the inside of the stomach wall.
Another small cut is made just above the pubic hair line or in the groin. Most of the procedure is done through the cut inside the vagina. The doctor creates a sling from the tissue or synthetic material. The sling is passed under your urethra and bladder neck and is attached to the strong tissues in your lower belly, or left in place to let your body heal around and incorporate it into your tissue.
Before discussing surgery, your doctor will have you try bladder retraining, Kegel exercises, medicines, or other options. If you tried these and are still having problems with urine leakage, surgery may be your best option. Tell your doctor what medicines you are taking. These include medicines, supplements, or herbs you bought without a prescription. You may have gauze packing in the vagina after surgery to help stop bleeding.
It is most often removed a few hours after surgery or the next day. The stitches sutures in your vagina will dissolve after several weeks.
After 1 to 3 months, you should be able to have sexual intercourse without any problems. Follow instructions about how to care for yourself after you go home.
Keep all follow-up appointments. Urinary leakage gets better for most women. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Mayo Clinic is a nonprofit organization and proceeds from Web advertising help support our mission. Mayo Clinic does not endorse any of the third party products and services advertised. A single copy of these materials may be reprinted for noncommercial personal use only.
This content does not have an English version. This content does not have an Arabic version. See more conditions. Urinary incontinence surgery in women: The next step.
Products and services. Urinary incontinence surgery in women: The next step If you have severe symptoms of stress urinary incontinence or overactive bladder, surgery may provide a permanent solution to your problems.
By Mayo Clinic Staff. Open pop-up dialog box Close. Sling procedures A sling is a piece of human or animal tissue or a synthetic tape that a surgeon places to support the bladder neck and urethra. Bladder neck suspension Bladder neck suspension adds support to the bladder neck and urethra, reducing the risk of stress incontinence. Sacral nerve stimulator During sacral nerve stimulation, a surgically implanted device delivers electrical impulses to the nerves that regulate bladder activity sacral nerves.
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Show references Jelovsek JE, et al. Stress urinary incontinence in women: Choosing a primary surgical procedure. Accessed Oct. Wein AJ, et al. Slings: Autologous, biologic, synthetic, and midurethral. In: Campbell-Walsh Urology. Philadelphia, Pa. Frequently asked questions. Special procedures FAQ Surgery for stress incontinence. American College of Obstetricians and Gynecologists. With a history of previous failed surgeries. Complicated by factors such as obesity that create a risk for failure of other types of surgeries.
Caused by problems with the muscular outlet of the bladder sphincter. How Well It Works Sling surgeries are as effective as other surgeries to cure stress urinary incontinence in women. Risks Complications of urethral sling surgery may include: Difficulty urinating after surgery. New symptoms of urgency or urge incontinence. Injury to an organ such as the bladder, urethra, or ureters.
Internal bleeding. Infection at the incision site. What To Think About The urethral sling procedure is more complicated than the other surgical methods for correcting stress incontinence and involves a greater risk of damage to the urethra. Before having surgery for urinary incontinence, ask your doctor about the following: How much success has the doctor had in treating incontinence with surgery?
The success of surgical procedures for urinary incontinence depends on the experience and skill of the surgeon. Is there anything I can do to increase the likelihood of a successful surgery? Losing weight, quitting smoking, or doing pelvic floor Kegel exercises prior to surgery may increase the likelihood of regaining continence after surgery.
References Citations American Urological Association Guideline for the surgical management of female stress urinary incontinence: Update Credits Current as of: July 17,
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