Urethral Sling Procedures at Lowcountry Urology Clinics

The physicians of Lowcountry Urology Clinics of Charleston SC are skilled in urethral sling procedures to treat female stress urinary incontinence (SUI). We invite referring physicians to consider us for their patients who may benefit from these procedures.

As a service to our referring physicians, Lowcountry Urology Clinics would like to present some basic information on transobturator, suprapubic and single incision mini-sling procedures that you may wish to share with your patients.

Stress Urinary Incontinence Defined
Stress urinary incontinence (SUI) means you involuntarily leak after a stressful event such as a cough, sneeze, or picking up a heavy object. 1 in 6 women experience SUI. Many recall that the condition appeared after childbirth.

Urethral Sling Procedure

A urethral sling is a tape-like mesh strip inserted through a ½ inch vaginal incision under the urethra. This creates a supportive sling for the urethra and stops urine leakage. It is recommended for women who are finished having children, as the strain of childbirth would likely undo the device. This is an outpatient procedure that takes around 20 minutes, and has shown very good results for the treatment of SUI – up to 80% cured, even years later.

Types of Urethral Sling Procedure

  • Suprapubic: The doctor makes a small incision inside the vagina just under the urethra. Two small openings – just large enough for a needle - are made above the pubic bone. The doctor places the sling inside the body. This requires no stitches to keep the sling in place, but the vaginal incision is often closed with a few absorbable stitches. The doctor may seal the needle sites with sutures or skin glue.
  • Transobturator: A newer technique, it slightly modifies to the suprapubic method. The doctor makes a similar vaginal incision, but the arms of the sling arms do not pass between the pubic bone and bladder. This reduces the risk of urethral and bladder injury.
  • Single incision mini-sling: The newest procedure is based on the same concepts of the tension-free tape mid-urethral slings, but it only requires a single incision. This procedure often takes less than 10 minutes to perform in an outpatient setting and local anesthesia. It is generally considered to be as safe and effective as the previous methods but being new, its results are not as historically conclusive.

Choose Lowcountry Urology Clinics for Your Patients

For your female SUI patients that may benefit from transobturator, suprapubic and single incision mini-sling procedures, Lowcountry Urology Clinics of Charleston SC is a referral you can make with confidence. Contact us today!