Procedure Urethral Sling



The surgical treatment for stress urinary incontinence (SUI) should be delayed until childbearing has been completed. The most common treatment for SUI is a mid-urethral sling via vaginal approach, which creates a “hammock” underneath the urethra for support. Since the introduction of mid-urethral slings in the 1990s, these procedures have become the procedure of choice and have shorter operative duration and lower risk of post-operative complications compared to other older methods. The two most common types of mid-urethral slings are TOT (transobturator tape) and TVT (tension-free vaginal tape). Both of these are made out of synthetic mesh material and are inserted via a vaginal approach. The non-synthetic mesh option exists; however, it is rarely used due to high failure rates and low long-term effectiveness.

Questions to Consider


The success rate of a mid-urethral sling has been shown to be between 70 and 80 percent. Long-term effectiveness is about 85 percent at the 10-year mark.


The risks of the mid-urethral slings in general include injury to bladder or urethra, worsening of urge incontinence, and urinary retention. The risk of bladder injury is five percent for TVT and less than two percent for TOT. Injury to the urethra is rare in both procedures and is less than one percent. The risks associated with synthetic mesh include infection, erosion, rejection, and pain. Mesh erosion is easily treated and usually does not cause long-term problems. Mesh rejection is a very rare reaction to the synthetic material and may require removal of the mesh.

Urinary incontinence affects one in four women over the age of 18, and far too many of these women accept it as normal when, in reality, treatments are highly effective. Our urethral sling treatments have the potential to vastly improve your comfort on a day-to-day basis and, consequently, your life.

Our Advantage

Why CIGC®? Some OBGYNs may state that they are qualified to perform this type of surgery, and therefore, many women think that having their practitioners treat them is the easiest route. In reality, the majority of the care provided by your OBGYN is Obstetrics – they do not have a strong focus on surgery. It is always better to go to a surgeon who is properly trained and highly experienced, which are qualifications met by the surgeons at CIGC.

Minimally invasive GYN surgery is the only medicine practiced at our facility. Your OBGYN is a generalist, and we are specialists. Surgery comprises the entirety of our job descriptions, and we take the necessary steps to excel at it. Our high level of surgical volume means that we have seen and have learned to treat a wide range of cases, lowering your risk as a patient. We are committed to surgery and are always up-to-date on the most advanced techniques and procedures.

If you want your procedure to involve expert surgeons, low risk of complications, tiny incisions, and a fast recovery, visit CIGC. We always choose the most minimally invasive, low-risk, and painless procedure possible so you can be back on your feet as quickly as possible.

Know your options. Our surgeons offer peace of mind in the form of information. We are more than happy to explain what each surgery entails, the potential risks, and what to expect from the average recovery period.

We know that our customers are picky when choosing their surgeons, and we think doing extensive research is important. When you are exploring treatment options for your urinary incontinence, get to know our surgical specialists and see why they are the best in the industry.

We have offices in Rockville and Annapolis, Maryland, as well as in Reston, Virginia for your convenience. Give us a call at (888) 787-4379.