But to date, according to a 2011 study in European Urology, the mini sling has lower short-term cure rates and higher re-operation rates compared to the older mid-urethral slings.īladder Neck Slings: These slings, also known as proximal urethral slings, can be made from synthetic mesh or a patient's own tissue (taken from the lower abdominal muscles). This new type of sling was developed to achieve the same results as the transobturator tape or tension free slings, but with fewer post operation complications.
Mini Sling (single-incision slings): This smaller version of the urethral sling can be inserted with a single incision to the vagina. Extensive studies have shown both the the retropubic and transobturator slings to be similarly effective (about 75% of cases are cured with either procedure), but transobturator slings carry a lower risk of damage to the urethra or bladder and a greater risk of complications in the groin area. As with the retropubic procedure, no stitches are required to hold the sling in place and the needle site incisions are sealed with skin glue. Transobturator Sling Treatment (TOT): Trasobturator refers to how the sling is put in place: It is inserted through the two lower spaces in the pelvis, the obturator foramens. The procedure carries a risk of rare but serious complications, including erosion, pain, and infection. Instead, they're held in place by friction between the mesh and the surrounding urethral tissue canals-eventually scar tissue develops to more permanently secure the sling and prevent movement. These slings are made of polypropylene mesh tape and require no internal stitches. Retropubic Midurethral Slings: Retropubic refers to how the sling is put in place: It is inserted through the midline joint of the pelvis, an area known as the retropubic space. Midurethral bladder slings are the most common and are made of polypropylene mesh. 
Bladder Sling Typesīladder slings are generally safe and effective, with a low risk of complications. This procedure is generally recommended for women who have had little or no success with less-invasive pelvic organ prolapse treatments such Kegel exercises. Bladder sling surgery is FDA-approved and has been used in the U.S. The most common female incontinence treatment is a bladder sling, a device that provides support to the bladder neck.
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