Women that experience occasional leaks when they’re lifting, laughing, coughing, running, or putting any kind of pressure on the bladder may be suffering from Stress Urinary Incontinence or SUI. This is caused by the weakening of the pelvic floor muscles that support and regulate the flow of urine. These muscles can be weakened due to a number of things - childbirth, surgery, aging, and years of high impact activity are all contributing factors. One solution that some women may turn to is surgery to help repair and strengthen the weakened muscle control that is causing leaks.
Kinds of Sling ProceduresTo understand the pros and cons of going through pelvic mesh surgery, it is important to distinguish between the two types of procedures women can get. The first kind is called mid-urethral sling surgery. This is when a thin strip of mesh (usually synthetic) is used to make the sling and is surgically placed under the urethra by one of three methods.
- Retropubic method: A small cut is made under the urethra, in addition to two cuts being made above the pubic bone. A needle is used to put a sling under the urethra behind the pubic bone to support the bladder and urethra.
- Transobturator method: A cut is made under the urethra and on each side of the labia. The sling is then placed under the urethra.
- Single-incision mini method: A single cut is made in the vagina and the sling is put through it.