Bladder Sling For Stress Incontinence

Bladder Sling For Stress Incontinence

Bladder slings are implanted in the female human anatomy during a special surgical procedure to relieve incontinence. There are two primary approaches to this procedure. One approach is referred to as the transobturator tape (TOT) sling. The other is known as the tension-free vaginal tape (TVT) sling.

Why These Procedures Are Performed

Through the years, experts have suggested a variety of solutions of incontinence, all of which involved treatment or devices which proved unsatisfactory to most patients. These two surgeries are meant to return patients to normal or near-normal functioning. Instead of simply finding ways to better tolerate urinary incontinence, bladder slings actually cure the problem 90% of the time.

Surgeries which implant bladder slings address the problem very directly. Urinary incontinence occurs when the muscles under the urethra become weakened and give way during periods of excessive strain. The strain may be something as mundane as a simple cough. These procedures seek to provide support to the organs involved so that they no longer give way, except when the patient wishes them to do so.

How It Is Done

Surgical procedures which implant bladder slings either use pieces of the patients own body tissue or synthetic materials to provide support under the balder and urethra. Before the procedure begins, the surgical team will administer a local anesthesia below the urethra. Surgeons continue with an incision in the patient’s thigh. The material for the sling, which is either fashioned from the patient’s own body or from a synthetic material, is later inserted and placed underneath the urethra. The abdominal wall naturally holds it in place.

Using a patients’ own bodily tissue to create bladder slings is complicated and not always ideal. It does decrease the chance of a patient’s body rejecting the implant. However, natural tissue has a greater chance of wearing away. Fashioning the sling also causes the surgery to take longer and increases the chance of infection.

The tension free synthetic bladder slings that many doctors use have a high success rate. They are infused in the flesh of the abdominal wall and held in place by scar tissue rather than stitches. This is a very dependable form of stabilization.
It may sound complicated, but this surgery actually only takes about 30 minutes. Surgeons need only make an incision about one centimeter in length, so recovery time is accelerated and a patient can expect very little post-surgery blood loss. On average, doctors have a 90% success rate with bladder slings.