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Sling Procedures

Sling procedures are performed through a vaginal incision. The traditional sling procedure uses a strip of your own tissue called fascia to cradle the bladder neck. Some slings may consist of natural tissue or man-made material. The surgeon attaches both ends of the sling to the pubic bone or ties them in front of the abdomen just above the pubic bone.

Midurethral slings are newer procedures that you can have on an outpatient basis. These procedures use synthetic mesh materials that the surgeon places midway along the urethra. The two general types of midurethral slings are retropubic slings, such as the transvaginal tapes (TVT), and transobturator slings (TOT). The surgeon makes small incisions behind the pubic bone or just by the sides of the vaginal opening as well as a small incision in the vagina. The surgeon uses specially designed needles to position a synthetic tape under the urethra. The surgeon pulls the ends of the tape through the incisions and adjusts them to provide the right amount of support to the urethra.

If you have pelvic prolapse, your surgeon may recommend an anti-incontinence procedure with a prolapse repair and possibly a hysterectomy.

References:

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

National Kidney and Urologic Diseases
Information Clearinghouse (NKUDIC)

National Institutes of Health
NIH Publication No. 08-4132
Date: October 2007

AUAFoundation - The Official Foundation of the American Urological Association

NKDEP - National Kidney Disease Education Program

NKUDIC - National Kidney and Urologic Diseases Information Clearinghouse

National Kidney and Urologic Diseases
Information Clearinghouse (NKUDIC)Kidney and Urologic Diseases A-Z list of Topics and Titles

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