Does urogynaecology perform mid-urethral sling surgery?

A mid-urethral sling supports the urethra, the tube that carries urine out of the bladder. It is considered for stress urinary incontinence, when coughing, laughing, exercise or lifting causes leakage. The urogynaecology assessment may include a symptom history, examination and discussion of non-surgical options. The clinician decides whether a sling fits your symptoms, health and preferences.

There are different sling approaches, and the operation, anaesthesia, recovery advice and follow-up depend on the selected technique. Ask what material is used, where it is placed, and what alternatives are available.

Keep a record of leakage triggers, urinary urgency, night-time urination and any difficulty emptying your bladder. Tell the specialist about previous pelvic surgery, pregnancy history, medicines and recurrent urine infections. You may be offered pelvic floor therapy, bladder training or other options before surgery. If an operation is planned, request clear instructions about medicines, activity, wound care and follow-up.

After a procedure, contact the surgical team promptly for fever, worsening pelvic pain, heavy bleeding, inability to pass urine, or new severe difficulty emptying the bladder. New leg weakness, chest pain or shortness of breath needs urgent medical attention. Before surgery, seek care for painful urination with fever, visible blood in urine, or sudden inability to urinate.

Ask whether your leakage is stress incontinence, what non-surgical choices remain, which sling approach is proposed, and how risks such as bladder symptoms or difficulty emptying will be monitored. Ask when you can drive, exercise and resume sexual activity.