Urethral Sling Procedure Treats Urinary Incontinence, Now Available at Women’s Excellence

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Stress Urinary Incontinence (SUI), the involuntary loss of urine with cough or sneeze or any increase in intra-abdominal pressure, is a condition that many women deal with after childbirth and as they become older. When pelvic floor exercises fail to improve the problem, the surgical specialists at Women’s Excellence in Bladder Control can perform a minimally invasive suburethral sling procedure to help stop the leakage of urine.

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The urethral sling procedure has exceptional, immediate results compared with pelvic floor strengthening. We always like to trial pelvic floor physical therapy first, but if results aren’t satisfactory, the TOT sling is the gold standard in treating SUI

Stress Urinary Incontinence (SUI) is a common problem that most women would rather not discuss, even with their trusted health care provider. SUI is the involuntary loss of urine with cough, sneeze, or any activity that increases intra-abdominal pressure such as jumping or running. Kegel exercises and other pelvic floor strengthening exercises can help, but they must be done correctly and regularly to make any difference. Vaginal childbirth and aging are primarily responsible for the condition.

When Kegels, pelvic floor exercises, and even pelvic floor physical therapy fail to work, women can now opt for a minimally invasive surgical procedure to help control the leakage. Commonly known as the “bladder sling” procedure, suburethral slings are also called Transvaginal (TVT; tension-free vaginal tape) or Transobturator (TOT). The procedure involves the application of a tension-free tape underneath the urethra to provide support. The tape is a synthetic, non-absorbable thin mesh that is inserted via a minimally invasive approach. According to Dr. Jonathan Zaidan, MD, founder and practitioner at Women’s Excellence in Bladder Control, “The urethral sling procedure has exceptional, immediate results compared with pelvic floor strengthening. We always like to trial pelvic floor physical therapy first, but if results aren’t satisfactory, the TOT sling is the gold standard in treating SUI”.

The procedure itself involves the passage of special needles on each side of the urethra to place the tape or mesh. The body then grows into the mesh and provides strong, long-term support for the mid-segment of the urethra. It is this stabilization of the urethra that stops the urinary leakage. “I would encourage any woman to not keep quiet about their urinary incontinence issues, especially with so many minimally invasive effective treatments available today,” said Zaidan.

Women’s Excellence is the most comprehensive obstetric and gynecologic office in Michigan. They also specialize in menopause, weight control, bladder control, endometriosis, robotic surgery, pelvic floor physical therapy, and midwifery services. The knowledgeable, well-trained, compassionate physicians and healthcare providers of Women’s Excellence are taking new patients and are conveniently located in four locations throughout southeastern Michigan, Birmingham, Lake Orion, Clarkston and Metamora. For more information, visit http://www.womensexcellence.com.

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Jonathan Zaidan, MD, FACOG

Brian Birney
@womensexcellen1
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