Urethral Suspension -- Sling Procedure
|Female Bladder and Urethra|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Reactions to anesthesia
- Inability to urinate
- Continued incontinence or recurrence of the problem
- Damage to other nearby organs or blood vessels
- Pain such as during sexual intercourse
- Chronic disease such as diabetes or obesity
What to Expect
Prior to Procedure
- Medical history—information about medications, illnesses, number of pregnancies, and previous surgeries; pattern of leaking and how it is affecting your life
- Urine sample—to look for the presence of infection or other problems
- Physical exam—includes a rectal and vaginal exam
Additional testing may be ordered to evaluate bladder function and urine flow, such as:
- Urine flow studies—a temporary catheter is placed to study bladder function
- Cystoscopy —a procedure done to view the inside of the bladder
Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure, like:
- Anti-inflammatory medications, such as ibuprofen
- Blood thinners
- Anti-platelet medications
- Arrange for a ride home from the hospital.
- Do not eat or drink anything after midnight the night before.
Description of Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding visitors and healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incisions
- Avoid lifting and strenuous exercise for six weeks after surgery.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Ask your doctor when it will be safe to have sex or use tampons.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
- Pain that you cannot control with the medications you have been given
- Cough, shortness of breath, or chest pain
- Severe nausea or vomiting
- Trouble urinating
- Pain, burning, urgency, or frequency of urination
National Kidney and Urologic Diseases Information Clearinghouse http://kidney.niddk.nih.gov
Urology Care Foundation http://www.urologyhealth.org
The Canadian Continence Foundation http://www.canadiancontinence.ca
Canadian Urological Association http://www.cua.org
Incontinence. American Urological Association Foundation website. Available at: http://www.urologyhealth.org/urology/index.cfm?article=143. Updated March 2013. Accessed December 2, 2013.
Incontinence. American Association of Family Physicians website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/urinary-incontinence.html. Updated July 2010. Accessed December 2, 2013.
Surgical mesh. US Food and Drug Administration website. Available at: http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm142636.htm. Updated September 24, 2013. Accessed December 2, 2013.
Surgical treatment for female stress urinary incontinence. National Association for Continence website. Available at: http://www.nafc.org/bladder-bowel-health/types-of-incontinence/stress-incontinence/surgical-treatment-for-female-stress-urinary-incontinence. Accessed December 2, 2013.
Townsend MK, Danforth KN, et al. Physical activity and incident urinary incontinence in middle-aged women. J Urol. 2008;179:1012-1016; discussion 1016-1017.
6/3/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Adrienne Carmack, MD
- Review Date: 12/2013 -
- Update Date: 01/28/2014 -