Mid-Urethral Sling Procedure

The Mid-urethral sling procedure is considered the gold standard operation designed to help women with stress urinary incontinence. Stress incontinence is leakage of urine with everyday activities such as coughing, sneezing or exercise. It is a very common problem that affects 1 in 3 women. Stress incontinence may be improved with pelvic floor exercise and lifestyle modifications, but if these strategies fail then surgery may be recommended for you. The mid-urethral sling is the most offered procedure.

The sling procedure involves placing a sling of polypropylene mesh about 1 cm wide between the middle portion urethra and the skin of the vagina. The urethra is the pipe through which the bladder empties. Normally, muscles and ligaments close firmly when straining or exercising to prevent leakage. Damage or weakening of these ligaments from childbirth or aging can result in urine leakage. Placing a sling underneath the urethra improves the support and reduces or stops the leaking.

This procedure is typically performed in the out-patient surgical center setting under sedation and local anesthetic and there is little downtime.  Our patients are typically back to  work or to normal activities within 4-7 days. Heavy lifting and sexual activity are the only limitations for the first 2 weeks.

Dr. Pezzella has performed over 1,200 slings and has a 95% success rate!