About the urethral sling
A surgical approach that is widely used today to restore continence involves the implanting of a urethral sling. A sling is a narrow strip of material that the surgeon positions under the urethra to support its natural tissues, allowing it to function as intended. The implanted sling acts much like a hammock, providing extra support of the urethra to prevent accidental leakage. The Ajust™ Single-Incision Sling allows your doctor to place the sling through only a single vaginal incision. The implant is made from a synthetic material that is uniquely knitted to provide exceptional strength and durability, providing the support required for urethral tissues after the procedure.
In most cases, a urethral sling can be implanted within about 30 minutes. Placement of a sling is a minimally invasive surgical procedure. Your physician will choose the anesthesia best suited to your condition and general health: either local or general anesthesia. The sling is designed to prevent involuntary leakage of urine, and it then self-anchors securely in place. They have been used successfully in hundreds of thousands of patients. Each patient is unique, however, and your physician can give you a more specific view of what your expectations should be.
Management options for SUI include conservative and surgical treatments. Midurethral sling placement has replaced other procedures (e.g., retropubic colposuspension, bladder neck slings) as the procedure of choice for many women. The tension-free vaginal tape (TVT), introduced by Ulmsten in 1996, was the first synthetic retropubic midurethral sling. Since that time, variations of retropubic midurethral slings as well as midurethral transobturator slings have been introduced. A midurethral sling is a suburethral sling that is placed at the level of the midurethra in a tension-free manner. These slings are made of synthetic mesh.