Which specialist performs a mid-urethral sling?

Urogynaecologists are gynaecological surgeons with focused expertise in the bladder, urethra, pelvic floor, and supportive tissues. For a mid-urethral sling, the surgeon places a narrow strip of material beneath the urethra to support it during activities that increase pressure in the abdomen. The operation is used for stress urinary leakage, such as leakage with coughing, laughing, exercise, or sneezing. Assessment may include your symptom history, examination, and urine testing before surgery is considered.

Ask for a urogynaecology consultation if stress leakage affects daily activities or exercise. Bring a list of medicines and describe previous pelvic surgery, urinary infections, urgency, and difficulty emptying your bladder. Discuss non-surgical options, the type of sling offered, expected recovery, and how the surgeon checks bladder emptying after the operation. A second opinion can help when the proposed treatment or material is unclear.

Contact a clinician promptly for inability to pass urine, severe pelvic pain, fever, heavy bleeding, or worsening symptoms after surgery. Burning urine, foul-smelling discharge, or new difficulty controlling the bladder or bowel also needs assessment. Urgent care is appropriate if you feel very unwell or cannot empty your bladder.

Ask about the surgeon's urogynaecology experience, alternatives, the material and route planned, catheter use, and signs that should trigger follow-up after the procedure.