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Urethral Sling Surgery (Stress Urinary Incontinence)

Support of the urethra with a synthetic mesh tape for stress urinary incontinence.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Urethral Sling Surgery (Stress Urinary Incontinence)?

Mid-urethral sling surgery is the placement of a polypropylene mesh tape under the mid-urethra to provide urethral support in stress urinary incontinence (SUI). TVT (Tension-free Vaginal Tape) and TOT (Transobturator Tape) are the most common techniques.

TVT is placed via a retropubic approach and TOT via a transobturator approach. In both techniques the mesh is positioned hammock-like under the urethra following the tension-free principle.

The long-term success rate is 80-90%. The procedure can be performed as a day case. It is the most common incontinence surgery in women.

Symptoms

Stress urinary incontinence (leakage with cough, sneeze, or exertion)
SUI unresponsive to pelvic floor strengthening exercises
Mixed urinary incontinence (with a predominant stress component)
Intrinsic sphincter deficiency
Incontinence after a prior hysterectomy

Risk Factors

Bladder perforation (3-5% with TVT)
Urinary retention (overly tight tape)
Mesh erosion (in the vagina or urethra)
Groin pain (obturator region with TOT)
De novo urge incontinence

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Urogynecology evaluation if urinary incontinence affects quality of life
  • If pelvic floor exercises and medical therapy are insufficient
  • If voiding difficulty or retention develops after surgery
  • If signs of vaginal erosion or pain appear

Treatment Methods

01
TVT (retropubic mid-urethral sling)
02
TOT/TVT-O (transobturator mid-urethral sling)
03
Mini-sling (single-incision sling, in selected cases)
04
Burch colposuspension (alternative when sling is contraindicated)
05
Preoperative urodynamic evaluation

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.