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Urinary incontinence - vaginal sling procedures - Recovery

Alternative Names

Pubo-vaginal sling; Transobdurator sling

Before the Procedure:

Always tell your doctor or nurse what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription.

During the days before the surgery:

  • You may be asked to stop taking aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), and any other drugs that make it hard for your blood to clot.
  • Ask your doctor which drugs you should still take on the day of the surgery.
  • You may be asked to shave your pubic area before the operation.
  • If you smoke, try to stop. Your doctor or nurse can help.

On the day of the surgery:

  • You will usually be asked not to drink or eat anything for 6 to 12 hours before the surgery.
  • Take the drugs your doctor told you to take with a small sip of water.
  • Your doctor or nurse will tell you when to arrive at the hospital.

After the Procedure:

The sutures (stitches) in your vagina will dissolve after several weeks. After 1 to 3 months, you should be able to have sexual intercourse without any problems.

You may be in the hospital for less than 24 hours. Some people need to stay for 1 or 2 days.

Outlook (Prognosis):

Urinary leakage gets better for most women. But you may still have some leakage. This may be because other problems are causing urinary incontinence. Over time, the leakage may come back.

  • Reviewed last on: 1/13/2011
  • Louis S. Liou, MD, PhD, Chief of Urology, Cambridge Health Alliance, Visiting Assistant Professor of Surgery, Harvard Medical School. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Oh S-J, Stoffel JT, McGuire EJ. Pubovaginal sling. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, PA: Saunders; 2007:chap 67.

Wai CY. Surgical treatment for stress and urge urinary incontinence. Obstet Gynecol Clin North Am. 2009;36:509-519.

Dmochowski RR, Blaivas JM, Gormley EA, et al. Female Stress Urinary Incontinence Update Panel of the American Urological Association Education and Research, Inc, Whetter LE. Update of AUA guideline on the surgical management of female stress urinary incontinence. J Urol. 2010;183:1906-1914.

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