MIDURETHRAL SLING

 

A midurethral sling is used to treat stress urinary incontinence (SUI). SUI occurs with coughing, sneezing, laughing, running and walking, for instance. Some types of incontinence are more severe than others. Midurethral slings may be placed in a retropubic or transobturator approach typically. It may be up to 85-95% successful with studies showing so far 15 year of use. Other slings may be from your own harvested tissue or via a Burch procedure which is typically via an open abdominal approach. The midurethral sling is considered the Gold Standard to treat SUI and is FDA approved.

 

Some risk factors include:

 

  • Pregnancy after vaginal delivery
  • Obesity
  • Chronic coughing
  • Heavy lifting
  • Frequency straining
  • Estrogen deficiency
  • Radiation
  • Trauma

 

Procedure: The small surgical procedure is typically performed under light general anesthesia, spinal, epidural and possibly local anesthesia. You would be placed in a position as for a gynecologic exam. A 2 centimeter incision is made just under the urethra in the vagina. Two small puncture site incisions are made at the groin area so that a needle-like introducer is used to attach the sling made of polypropylene (same material as general surgeons use for hernia repairs. The sling is not much more than the length and width of your finger. The sling supports the urethra without tension to avoid post operative symptoms lasting too long such as retention, frequency or urgency. Once in proper position, the small vaginal wound is closed and the 2 puncture sites are commonly closed with glue. Of course, as with any surgery there is a very small percentage of risks, including, but not limited to: bleeding, infection, pain, perforation, urinary retention, failure of the procedure.

 

Post-op instructions are typically not to lift more than 10 lbs for a month, expect a small amount of blood vaginally for a few days or so, groin pain for a couple days easily relieved with pain meds typically and otherwise soreness that may last a week typically. It is best not to become constipated or strain during the healing phase.

 

 

 

 

 

 

 

 Dr. Darlene Gaynor-Krupnick

361 Medical Office Building East

100 Lancaster Avenue

Wynnewood, PA  19096

610-649-6420

 

 

 UROLOGY HEALTH OFFICE LOCATIONS

ABINGTON
1235 Old York Road
Abington, PA 19001
215-517-1100

 

BROOMALL

1974 Sproul Road, Suite 106

Broomall, PA 19008

610-259-3000

BRYN MAWR
245 South Bryn Mawr Avenue
Bryn Mawr, PA 19010
610-525-2515

 

 

HUNTINGDON VALLEY
1800 Byberry Road

Suite 1203
Huntingdon Valley, PA 19006
215-947-4105

 

MEDIA
1088 West Baltimore Pike

HCC II, Suite 2304
Media, PA 19063
610-744-2844

PAOLI
4 Industrial Boulevard

Suite 180
Paoli, PA 19301
610-525-2515

PHILA - CHESTNUT HILL

8815 Germantown Avenue

Suite 46
Philadelphia, PA 19118
215-242-8260

PLYMOUTH MEETING
400 Davis Drive, Suite 200
Plymouth Meeting, PA 19462

215-242-8260

 

WEST GROVE-CHESTER COUNTY
455 Woodview Road, Suite 230
West Grove, PA 19390

610-259-3000

WEST GROVE-JENNERSVILLE
1011 West Baltimore Pike
West Grove, PA 19390
610-869-6851

WYNNEWOOD
100 E. Lancaster Ave, East 361
Wynnewood, PA 19096
610-649-6420

 

CORPORATE OFFICE
140 W. Germantown Pike #250
Plymouth Meeting, PA 19462
484-530-0205

BILLING OFFICE
P.O. Box 1287
Blue Bell, PA 19422
 

       


 SURGERY CENTER LOCATIONS                                                                             UH PROSTATE CANCER CENTER

BROOMALL

1974 Sproul Road
Suite 104
Broomall, PA 19008
610-600-9935

HUNTINGDON VALLEY

1800 Byberry Road

Mason Mills II, Suite 1204

Huntingdon Valley, PA 19006

215-947-4105

PAOLI

4 Industrial Boulevard

Suite 175
Paoli, PA 19301
484-320-7700

CANCER CENTER

400 Davis Drive

Suite 200

Plymouth Meeting, PA 19462

610-825-2151

 

 

Urology Health Specialists, LLC is not affiliated with Universal Health Services, Inc. or UHS of Delaware, Inc.