Suburethral sling
When should a suburethral sling be considered?
Suburethral slings are now the gold-standard surgical treatment forfemale stress urinary incontinence. This minimally invasive technique effectively restores continence with a high satisfaction rate.
The placement of slings is indicated in cases of confirmed stress urinary incontinence, that is, in cases of leakage during:
✔ cough,
✔ sneezing,
✔ physical exertion,
✔ the carrying of loads,
✔ or even laughter.
It is aimed at women whose bladder weakness is affecting their quality of life, and who are looking for a lasting solution after medical or rehabilitative treatments (perineal physiotherapy) have failed or been insufficient.
Origins of stress incontinence
Stress urinary incontinence is related to urethral sphincter failure or lack of urethral support, often secondary to :
- deliveries,
- pelvic relaxation,
- menopause,
- certain previous pelvic surgeries.
The tape aims to reposition and support the urethra in an effective and natural way.
Suburethral sling technique
This is a minimally invasive procedure performed on an outpatient basis, under local or light general anesthesia.
Principle : placement of a synthetic polypropylene strip under the urethra, acting like a “hammock” to support it during exertion and prevent leaks.
Possible approaches
• Retropubic route (TVT): the strip passes behind the pubic bone.
• Transobturator route (TOT): the sling passes through the thigh muscles.
The choice depends on the patient’s anatomy, the intensity of the leakage, and surgical history.
Procedure
Duration : 30 to 45 minutes
Hospitalization : outpatient (same-day discharge)
Temporary urinary catheterization for a few hours
Activities will gradually resume starting the following day.
Post-operative care
• Burning during urination and moderate cramping for a few days
• Minor vaginal discharge possible
• Relative rest for 1 to 2 weeks
• Resumption of sexual relations after 4 to 6 weeks
• Post-operative follow-up with Dr. Peyrat to monitor effectiveness and the absence of complications
Expected results
Success rate: 85 to 90% improvement or elimination of leaks
Stable results over time in well-selected patients
Rapid recovery and marked improvement in quality of life
Risks and complications (rare)
• Temporary difficulty urinating (urinary retention)
• Urinary tract infection
• Pelvic pain or pain during exertion
• Erosion of the sling in the vaginal wall (rare, treatable)
• Hematoma or bleeding (rare)
The choice of patient, the prior urodynamic evaluation and the surgical expertise of Dr. Peyrat help to minimize these risks.
Why consult Dr Laurence Peyrat?
✔ Specialist in female urinary incontinence,
✔ Regular, mastered practice of the various strip application techniques,
✔ Personalized approach based on expectations, age, anatomy and medical history,
✔ Possible collaboration with physiotherapists specialized in perineality,
✔ Careful monitoring before and after surgery to guarantee the best results
My video review
The suburethral sling is a minimally invasive procedure used to treat stress urinary incontinence in women.
A first step towards an effective solution
Make an appointment today to benefit from attentive listening and support tailored to your situation.