STRESS URINARY INCONTINENCE
There is so much on TV about the problems with the sling and the mesh? Is this true?
The FDA came out with an advisory stating that mesh complications are not rare. This mainly pertains to mesh that is used for prolapse and not the sling that is used for stress leakage. The lawyers have lumped everything together in order to increase the number of cases for the class action lawsuits.This is a complete attorney driven fear factor. All medical societies unanimously agree that the slings are safe and do not pose the risks exaggerated on TV. Even the FDA has stated that the risks for the sling and mesh are different.
The long slings (TVT and TOT) and Pelvic floor therapy are the other treatment options for SUI. We rarely perform any of the long sling procedures as we have had excellent results with the DISST procedure. Sometimes, pelvic floor therapy is recommended after the DISST procedure especially if the patient has a strenuous occupation.
No. I have not done a bladder suspension for the past 15 years! Bladder suspension lifts the urethra up and can cause overcorrection with a higher risk of difficulty with urination. Moreover, it has to be done by either opening the belly or doing a laparoscopy. Both of these surgical approaches are much more invasive as compared to a fingernail size incision in the vagina.