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.
The removal of the bladder due to cancer is immediately followed by a procedure known as a continent diversion, says Miami-based urologist Dr. Paul Perito. This procedure is to create a neobladder (new bladder) and possibly urine expulsion capabilities through a urostomy (a plastic urine collection bag outside the body). The procedure utilizes a portion of the patient’s own lower intestine to create a man-made replacement of the organ, says Dr. Paul Perito.