A sling operation is currently the most effective therapy for significant stress urinary incontinence in women due to weakness of the urethral sphincter. This procedure requires less than an hour of operative time and can be done as an outpatient. Through a vaginal approach, a small incision is made beneath the urethra to allow for placement of a strong synthetic or biologic material to provide support when pressure is placed on the bladder from a sneeze, cough, exercise or other activities.
Results are immediate, but a healing period of modified activities is usually recommended for four to six weeks. This operation has a satisfaction rate of over 90 percent with excellent durability.