Simple surgery may correct this embarrassing condition, says Paul Perito MD. According to urologist Paul Perito MD, a vaginal sling procedure is effectively the creation of a support hammock, which aids in the prevention of premature opening of the urethra, from laughing, coughing or sneezing. Paul Perito MD explains that it is a relatively simple procedure that involves installing a small piece of material underneath the urethra. There are a variety of materials available for patients, including synthetic mesh, cadaverous material, and the patient’s own natural tissue. According to urologist Paul Perito MD there are two surgical procedures for vaginal sling insertion: a retro pubic incision, which is on the lower abdomen, or through an incision in the crease of the groin.
Often, alongside of stress incontinence, are defects such as a dropped bladder, herniated rectum, or small bowel or uterine prolapse (slippage). According to Paul Perito MD, these conditions may result in additional surgical repair to ensure the vaginal sling is effective. Ideally, a patient’s own tissue is used but if circumstances preclude that possibility other materials will be considered, says Paul Perito MD. The end result of the surgery is to provide additional support to the urethra as well as the bladder. Paul Perito MD, a Miami-based urologist, notes that this helps take pressure off of the urethra and can reduce or eliminate the instances of stress incontinence.
It is customary for the procedure to be performed on an outpatient basis at an ambulatory surgery center, reports Paul Perito MD. Although the procedure is almost entirely through the vagina, a small incision is made above the hairline, or at an alternate location, for the placement of sutures. Paul Perito MD notes that this is a minimally invasive procedure, so there is relatively minor discomfort and a rapid recovery.
As with any medical procedure there are risks associated with the installation of vaginal sling, cautions Paul Perito MD. Complications are uncommon but may include bleeding and infection, difficulty urinating, localized pain and recurrent incontinence. Paul Perito MD says that, rarely, increased vaginal prolapse may occur as a result of the vaginal sling procedure. As an urologist, Paul Perito MD explains the pros and cons of this procedure to his patients so that they can make a more informed decision as to their course of treatment.
Postoperatively, the vagina will be packed with sterile gauze, which helps prevent bleeding, says Paul Perito MD. Additionally, some patients may be catheterized through a small incision. Many patients will be able to void the bladder while still in recovery, reports Paul Perito MD, but it is not uncommon for a week or two delay before normal urination returns. According to Paul Perito MD, there are no dietary restrictions but fluid intake should be limited for a time to six servings of liquid a day.
Paul Perito MD is a Coral Gables, Florida-based urologist whose practice, Perito Urology, specializes in men’s health issues. Most notably, Paul Perito MD has developed and actualized a minimally invasive penile implant procedure that is safe, efficacious, and proven to diminish the risk of infection to the patient. He is the Chairman of the Urology Department at Coral Gables Hospital as well as an active member of the American Urological Society. Paul Perito MD has traveled abroad extensively to promote his minimally invasive penile implant technique. He is a 1988 graduate of the University Of Maryland Medical School and also holds a BA in chemistry from Emory University.
The information contained in this article is provided by Paul Perito MD for educational purposes only. It is not intended to treat or diagnose any condition.