Sling operations

Sling operation is a proven and safe method of treating stress urinary incontinence. The doctor recommends it in cases where conservative methods, such as exercise or medication, no longer help. Modern technologies allow the procedure to be performed quickly, with minimal trauma and high efficiency. In 85-95% of cases, women completely get rid of the problem and return to an active life.

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What is sling surgery?

Tubal sling surgery (TVT) is a surgical treatment for urinary incontinence in women. It is used for stress incontinence, where urination occurs when coughing, sneezing, or exercising. The surgery helps restore normal bladder and urethral function by eliminating the cause of leakage.

What is sling surgery?

Pain relief during sling surgery

General anesthesia is used less frequently when the operation requires complete muscle relaxation or the patient has contraindications to local anesthesia methods. With general anesthesia, the patient is asleep, and her vital functions are monitored by an anesthesiologist.

The main types of anesthesia for the sling procedure (TVT):

  • Local anesthesia Most often used for sling surgery. The anesthetic is injected into the incision area, blocking sensation in the area being operated on. The patient remains conscious but does not feel pain
  • Spinal anesthesia The drug is injected into the cerebrospinal fluid, blocking sensation in the lower part of the body. The patient remains conscious but does not feel pain below the level of the anesthetic injection. Spinal anesthesia is used if a long procedure is required or if there are contraindications to local anesthesia

General information about the procedure

Preparation for TVT surgery

The main stages of preparation for the sling procedure (TVT):

  1. Doctor's consultation. During the appointment, the doctor will clarify the symptoms, conduct an examination and assess the general health condition. To confirm the diagnosis, special tests may be required, such as a urodynamic study (study of bladder function)
  2. Examinations. Before the surgery, it is necessary to take blood tests (general, biochemical, for coagulation), urine tests, and also undergo an ultrasound of the pelvic organs
  3. Treatment of infections. If the patient has urinary tract infections or inflammatory processes, they must be treated before the surgery
  4. Restrictions in diet and drinking regimen. 8-12 hours before the procedure, it is necessary to stop eating and drinking
  5. Stop taking certain medications. If the patient is taking medications that affect blood clotting (such as aspirin), the doctor may recommend temporarily stopping or replacing them.

In addition, the anesthesiologist will explain in advance what type of anesthesia will be used (general or local) and how to prepare for it.

How is TVT sling surgery performed?

The main stages of the sling procedure (TVT):

  1. Preparing the surgical field. The surgeon treats the skin with an antiseptic and makes small incisions in the vaginal area and on the skin of the lower abdomen
  2. Installing the tape. A thin synthetic tape is passed through the incisions under the urethra, which is fixed without tension. The tape supports the urethra, preventing it from shifting during physical activity
  3. Checking the correctness of the installation. The surgeon evaluates the position of the tape and its effectiveness
  4. Completion of the operation. The incisions are sutured or closed with surgical glue. The procedure usually lasts about 30-40 minutes

The patient remains in the clinic for several hours or until the next day so that doctors can assess her condition.

Postoperative period and rehabilitation

In the first 2-3 hours after the sling procedure, the patient is under the supervision of doctors. Mild discomfort in the area of the incisions or when urinating is possible, which is considered normal. If stitches are used, they usually dissolve on their own and do not require removal.

Restrictions in the postoperative period

  • Physical activity, including heavy lifting, should be excluded for 4-6 weeks
  • Sexual intercourse should be postponed for 4 weeks to allow the tissues to heal completely
  • It is important to avoid overflowing the bladder. In the first days, urination should be regular, without delays

A follow-up examination is carried out 1-2 weeks after TVT surgery. The doctor evaluates tissue healing and urinary system function.

Some patients may experience minor nagging pain in the lower abdomen or frequent urge to urinate. These symptoms usually go away within 3-5 days. If the pain intensifies or unusual discharge occurs, you should contact your doctor immediately.

“The patient returns to normal activity within 1-2 weeks, but full recovery takes about 6 weeks. During this time, the tissues adapt, and the support tape is fixed in the correct position,” the doctor comments.

Side effects and complications

After the sling operation, you may experience a burning sensation when urinating, frequent urges, and slight swelling in the area of the incisions, which usually disappear in 3-5 days. Mild nagging pain in the lower abdomen is considered normal in the first 1-2 weeks and is easily relieved with painkillers.

Possible complications of TVT:

  1. Infection. Sometimes an infection can develop in the area of the incisions or urinary tract. This is manifested by fever, redness, and pain. If you have such symptoms, you should see a doctor
  2. Urinary dysfunction. In rare cases, difficulty or inability to completely empty the bladder may be observed. This condition requires additional correction
  3. Tissue erosion. In a small proportion of patients, the tape may damage the vaginal mucosa or urethra, which requires repeated intervention
  4. Formation of adhesions. Sometimes adhesions may form at the site of tape installation, which causes discomfort or nagging pain
  5. Allergic reaction to the tape material. A rare complication, but if it occurs, the tape can be replaced

If unusual symptoms appear, it is important not to delay a visit to a specialist.

Indications and contraindications for TVT surgery

The procedure is not indicated for everyone and requires an assessment of the patient's health.

Indications for TVT sling surgery:

  1. Stress urinary incontinence. The surgery is performed when urine leaks when coughing, sneezing, laughing or exercising. This is the main indication
  2. Ineffectiveness of conservative treatment. If pelvic floor muscle exercises, physical therapy or medications have not yielded results, surgery becomes the next stage of treatment
  3. Decreased quality of life. If urinary incontinence interferes with the patient's daily activities, causes psychological discomfort and limits activity, TVT may be the solution

Indications and contraindications for TVT surgery are interrelated: before prescribing, the doctor assesses the patient's health to ensure that there are no factors that can affect the effectiveness of the treatment.

Contraindications to TVT sling surgery:

  1. Active infections. The surgery is not performed in the presence of urinary tract infections or pelvic inflammatory processes
  2. Pregnancy. The procedure is contraindicated during pregnancy, as changes in the body can affect the result of TVT surgery
  3. Severe prolapse of the pelvic organs. With significant prolapse of the vagina or uterus, another type of surgical treatment may be required
  4. Blood clotting disorders. If the patient has a tendency to bleeding or thrombosis, the operation may be dangerous
  5. Allergy to tape materials. The installation of a synthetic loop cannot be performed if the patient has an individual intolerance to the material

Important! If the patient has serious chronic diseases in the acute or decompensated stage (for example, cardiovascular or oncological), the operation may be postponed.

Benefits of Sling Surgery for Urinary Incontinence Treatment

Advantages of sling surgery (TVT):

  1. High efficiency. More than 90% of patients completely get rid of the problem after the surgery. The result lasts for at least 10-15 years if the doctor's recommendations are followed
  2. Minimal trauma. The surgery is performed through small incisions about 1 cm long
  3. Short hospitalization. The patient stays in the clinic for only 1-2 days
  4. Quick return to activity. In just 5-7 days, a woman can return to everyday life, and in 4-6 weeks fully restore physical activity, including sports
  5. Aesthetics of the procedure. The incisions are located in hidden areas, and after their healing, the traces are almost invisible

Thanks to the minimally invasive technique, the likelihood of infections, bleeding or other complications is significantly lower compared to traditional methods.

For a solution to the problem of stress urinary incontinence, contact the K+31 clinic (Moscow). We perform sling operations using modern technologies. Write, call and sign up for a consultation. All prices are listed on the website.

Benefits of Sling Surgery for Urinary Incontinence Treatment

Answers to popular questions

Opinions of doctors “K+31”:

Can I play sports after surgery?

You can play sports after 4-6 weeks, when the tissues have completely healed. However, you should avoid intense stress on the abdominal and pelvic muscles, such as lifting weights or running. Light activities, such as walking, are allowed as early as a week after surgery. Before returning to exercise, be sure to consult with your doctor.

Are there any age restrictions for the surgery?

The sling surgery can be performed at any age, if the general health condition allows for anesthesia and the procedure itself. However, in elderly patients, the doctor will definitely evaluate the presence of chronic diseases that can affect the result.

What if the problem returns after several years?

If the symptoms of incontinence appear again, it is important to consult a doctor for diagnosis. It may be necessary to adjust the treatment or repeat the procedure. In some cases, the problem can be solved with conservative methods, such as physical therapy.

Our doctors

Kappusheva Laura Magomedovna
Experience 42 years
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Kappusheva
Laura Magomedovna
Deputy chief doctor in gynecology, obstetrician-gynecologist
Kamoeva Svetlana Viktorovna
Experience 30 years
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Kamoeva
Svetlana Viktorovna
Deputy Chief Physician for Obstetrics and Gynecology, obstetrician-gynecologist
Pivovarova Svetlana Victorovna
Experience 31 year
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Pivovarova
Svetlana Victorovna
Head of the outpatient department, gynecologist, endocrinologist
Makarischev Alexei Yakovlevich
Experience 27 years
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Alexei Yakovlevich
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Shevchuk Alexei Sergeyevich
Experience 25 years
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Alexei Sergeyevich
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Chernaya Oksana Yuryevna
Experience 14 years
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Oksana Yuryevna
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Mukhina Elena Valeryevna
Experience 32 years
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Elena Valeryevna
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Manukyan Lusine Andranikovna
Experience 27 years
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Lusine Andranikovna
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Pegova Maria Romanovna
Experience 13 years
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Maria Romanovna
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Kalmykova Natalya Vladimirovna
Experience 25 years
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Natalya Vladimirovna
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Zarubenko Natalya Borisovna
Experience 23 years
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Natalya Borisovna
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Shilina Elena Alexandrovna
Experience 26 years
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Elena Alexandrovna
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Selyutina Nataliya Alexandrovna
Experience 27 years
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Nataliya Alexandrovna
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Smirnova Angelica Yuryevna
Experience 26 years
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Angelica Yuryevna
Obstetrician-gynecologist, endocrinologist
Sargsyan Anna Vartanovna
Experience 16 years
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Anna Vartanovna
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Breusenko Valentine Grigoryevna
Experience 62 years
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Valentine Grigoryevna
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Ibragimova Zarema Almanovna
Experience 30 years
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Zarema Almanovna
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Dukhina Tatiana Alexandrovna
Experience 24 years
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Tatiana Alexandrovna
Obstetrician-gynecologist, ultrasound specialist
Gromova Maria Arturovna
Experience 23 years
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Gromova
Maria Arturovna
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Sirotinina Maria Vasilievna
Experience 17 years
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Maria Vasilievna
Obstetrician-gynecologist, gynecologist-endocrinologist, ultrasound diagnostics doctor
Grishin Igor Igorevich
Experience 32 years
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Igor Igorevich
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Fotina Evgeniya Viktorovna
Experience 23 years
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Fotina
Evgeniya Viktorovna
Obstetrician-gynecologist
Gomov
Mikhail Alexandrovich
Consultant in oncogynecology, obstetrician-gynecologist
Ibragimova Jamilya Magomedovna
Experience 16 years
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Ibragimova
Jamilya Magomedovna
Obstetrician-gynecologist
Kashoyan Anna Robertovna
Experience 4 years
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Kashoyan
Anna Robertovna
Obstetrician-gynecologist, ultrasound diagnostics doctor
Ipatova Ekaterina Borisovna
Experience 25 years
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Ipatova
Ekaterina Borisovna
Obstetrician-gynecologist
Gumerova Dinara Radikovna
Experience 3 years
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Gumerova
Dinara Radikovna
Obstetrician-gynecologist, ultrasound doctor
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I went to have an IUD inserted, the procedure was quick and painless, I would like to draw special attention to the fact that Anna Robertovna called a few days later and asked how I was feeling, I am an anxious patient and this is very important to me.
17.03.2025
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Thank you for your conscientious work and sensitive attitude! Anna Robertovna won me over from the very first minutes and gave detailed answers to all my questions!
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I would like to express my deep gratitude to Anna Robertovna for her sensitivity, kindness and individual approach to my problem! It is a pleasure to visit you! My pregnancy occurred only thanks to you and now I am a happy mother! I thank you with all my heart!
16.03.2025
Olga
A patient's notes or a second life thanks to the 31+K team and Svetlana Viktorovna Kamoeva herself For 20 years, I lived with fibroids and endometriosis, not realizing that I was wasting precious time. I faced recurrent cystitis, kidney pain, infertility, not realizing that all these conditions were interconnected. Despite numerous consultations with doctors, no one gave me a clear, structured plan of action; instead, I was prescribed expensive drugs that only maintained my condition, but did not solve the problem. Everything changed when I met Dr. Svetlana Viktorovna Kamoeva, Deputy Chief Physician for Obstetrics and Gynecology at the K+31 West Clinic, Doctor of Medical Sciences, Professor and leading specialist in the field of gynecological surgery and women's regenerative health. A doctor who sees the problem deeper than the symptoms From the very first consultation, I realized that Dr. Kamoeva is not just a doctor, but a specialist you can trust. Unlike all previous consultations, where uncertainty reigned, here I heard a clear diagnosis and a detailed treatment plan. Our first appointment lasted more than two hours - during this time she carefully reviewed my medical history, prescribed all the necessary tests and proposed a scientifically based treatment strategy. Her confidence, deep knowledge and thoughtful approach instilled complete trust in me. For the first time in many years, I understood what to do and when. Complex surgery: the highest professionalism in action Due to the complexity of my condition, laparoscopic myomectomy and removal of multiple endometriosis were recommended. Despite my busy schedule, frequent flights and fatigue, the K + 31 West team provided me with prompt and professional preparation. The operation, which was initially planned as standard, lasted almost 6 hours, as unexpected complications arose during the process. However, thanks to the experience, precision and surgical skill of Dr. Kamoeva, everything went well. Post-operative Recovery: Exceptional Care and a Fast Recovery Typically, such a complex procedure requires a long recovery, but under Dr. Kamoeva’s watchful eye, my recovery was surprisingly fast. Within two days, I felt a significant improvement that exceeded all my expectations. Her approach goes far beyond surgery—she provides comprehensive, all-round care, adhering to the highest standards of personalized medicine. World-Class Women’s Health Professional Dr. Svetlana Viktorovna Kamoeva is not only an outstanding surgeon and scientist, but also a visionary in the field of women’s health and regenerative medicine.
16.03.2025
Elena K.
Excellent doctor. Every woman knows how important it is for us to get not only to a highly professional gynecologist, but also to a friendly and sensitive specialist. This is about Maria Vasilievna. Attentive and careful examination. During the ultrasound, she will tell you everything and comment on the picture. Thank you very much, Maria Vasilievna! Maria K.
09.03.2025
K. Maria Gennadievna
I met Tatyana Aleksandrovna quite a few years ago, when I came to her for a consultation during pregnancy. Under her sensitive and professional supervision and thanks to her ability to recognize and prevent possible problems in time, I gave birth to a beautiful, healthy baby. Tatyana Aleksandrovna is a very competent specialist and a wonderful, responsive, positive person. I love her with all my heart and recommend her to everyone.
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Огромная благодарность Гомову Михаилу Александровичу! Профессионал с большим сердцем – внимательный, отзывчивый, терпеливый. Оперировал мою маму (84 года), не побоялся сложного случая, подарил нам надежду. Спасибо за вашу смелость, заботу и человеческое тепло. Здоровья и благополучия вам и вашей семье!
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An amazingly structured approach to collecting anamnesis, appointment format and recommendations. A wonderful doctor, a professional. Everything was very comfortable, correct and caring! Thank you, Dinara Radikovna!
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