How Incontinence Is Treated
The current treatment, gold standard for incontinence is a tension-free sling system.
There are many approaches you can place this tension-free sling. Tension-free means you
are putting a sling in, it’s usually about a centimeter in diameter and yay long underneath
the urethra to support the urethra so that when you cough and sneeze there is a backboard
that compresses the urethra.
Tension-free means you are not suturing it to anything. You are putting this mesh in
underneath the urethra and leaving it alone. You are going to ask, “How the heck does
that work?” Well, you are putting this mesh in underneath the urethra, and the patient’s
own fiber blast or cells, grab these meshes and keep it in its proper location. So now it
moves like you move. It’s not fixed. It’s not sutured. It’s not drilled into a bone. It moves
as you move naturally. And guess what, it actually works.
This was invented in Europe. And Americans were about seven to 10 years behind and
we finally copied the Europeans. And it has now become the gold standard to put these
tension-free slings. Now these slings can be placed many ways. It can be placed through
the vagina, through the abdomen or through this little space called the obturator foramen,
which is probably the majority of doctors doing because it’s quite a safe procedure with
almost no risk of damage to the bladder, almost no risk of damage to bowel.
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