Mid-Urethral Slings


If you watch TV , listen to the radio, or read the newspaper, you may find yourself wondering, “Is this that horrible vaginal mesh thing?” The answer is both yes and no. In 2011, the FDA issued what we believe to be a very appropriate warning with regard to the use of polypropylene mesh (PPM) in vaginal prolapse surgery. This warning was not for polypropylene mid-urethral slings. The polypropylene mesh sling is still the most commonly used surgery used to treat stress urinary incontinence.

As noted above, synthetic slings are made out of polypropylene mesh. Therefore, all of the complications associated with transvaginal mesh can also occur with PPM slings. As a national referral center for complications of mesh surgery, we have gained unique experience with PPM. We have learned that many women with stress urinary incontinence are not candidates for transobturator PPM slings and some are not candidates for any type of PPM sling. We have also developed methods for quickly and effectively treating PPM sling complications. In the hands of the right surgeon, cure rates may exceed 90% and complications rates can be less than 1%. However, remember that this is mesh and in the hands of the wrong surgeon, the complications can be common and serious.

This is a fifteen-minute outpatient surgery performed through a small vaginal incision and two fingernail sized incisions on the skin of the pubic area or vulva. You will need to avoid strenuous activity and intercourse for four weeks. You will be able to drive and partake in non-strenuous activities the day following your procedure.


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