Midurethral Sling for Female Stress Urinary Incontinence


This minimally-invasive procedure is designed to provide support for the urethra to prevent accidental urine leaks. The urethra is the canal that urine flows through when it leaves the bladder. During the procedure, the surgeon implants a strip of surgical tape inside the body to cradle the urethra. The surgery takes about 30 minutes to complete. It may be performed in combination with other procedures.


In preparation for the procedure, the patient is positioned and anesthesia is administered. The surgeon makes a single incision in the vagina, just under the urethra. Depending on the style of sling, the surgeon may also make two incisions in the groin, or two incisions in the lower abdomen.

The Procedure

The surgeon threads the sling beneath the urethra. The tension of the sling is carefully adjusted to support the urethra. The sling will keep the urethra closed during physical exertion, preventing uncontrollable urine leaks. The surgeon will confirm the correct placement and tension of the sling. The surgeon may also inspect the urethra and bladder with a cystoscope, a thin viewing telescope inserted into the urethra.

End of Procedure and Aftercare

When the procedure is complete, the incisions are closed. The patient is monitored in a recovery room and will be checked to see if the patient can urinate normally. In a small percentage of cases, catheterization may be required for a few days after the procedure. In most cases, the patient is able to go home within a few hours of the procedure.