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.

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Kappusheva Laura Magomedovna
Experience 42 years
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Laura Magomedovna
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Kamoeva Svetlana Viktorovna
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Svetlana Victorovna
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Shilina Elena Alexandrovna
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Selyutina Nataliya Alexandrovna
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Smirnova Angelica Yuryevna
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Sargsyan Anna Vartanovna
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Anna Vartanovna
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Breusenko Valentine Grigoryevna
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Valentine Grigoryevna
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Ibragimova Zarema Almanovna
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Dukhina Tatiana Alexandrovna
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Sirotinina Maria Vasilievna
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Grishin Igor Igorevich
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Fotina Evgeniya Viktorovna
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Evgeniya Viktorovna
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Ibragimova Jamilya Magomedovna
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Kashoyan Anna Robertovna
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Anna Robertovna
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Ipatova Ekaterina Borisovna
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Gumerova Dinara Radikovna
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Reviews 9

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.
05.03.2025
Irina
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!
17.01.2025
Victoria
I had an appointment with Natalia Borisovna Zarubenko. Many thanks to her! Polite, competent, friendly, sensitive doctor! Natalia Borisovna not only solved my problems, but also gave me additional recommendations, prescribed treatment in accordance with my age! I recommend Natalia Borisovna Zarubenko!
16.01.2025
Vera Valentinovna U.
Thank you very much, Sarkisyan Anna Vartanovna, for your invaluable help in treatment, colossal support and responsiveness. You are a golden doctor, an impeccable specialist in your field, a kind-hearted person. It is a pleasure to come to the clinic K + 31 on Lobachevsky, because such high professionals as you work there. Thank you for your attention and I want to wish you many years of successful medical practice, happy years of a prosperous life. With respect and gratitude, your patient, Smirnova Natalia Aleksandrovna
07.01.2025
Natalia Alexandrovna S.
I would like to thank Anna Vartanovna with all my heart, a gynecologist with a capital letter and a professional. The doctor conducts the appointment competently, conducts the examination delicately, and gives professional recommendations. This is truly a Doctor from God! She will not miss anything, will warn you of everything, and will calm you down with her professional approach. There were also regular annual preventive examinations and situations requiring a surgical solution. With you, Doctor, nothing is scary! My best recommendations for women of all ages. By the way, my mother is delighted with Anna Vartanovna! Everything was resolved, there are no more concerns. Health to your hands, Doctor! Only with you, wherever you work! Merry Christmas to you!
04.01.2025
Yulia Anatolyevna T.
Zarema Almanovna, a wonderful, kind and responsive doctor! I felt very comfortable communicating with her. I am delighted with this doctor.
08.12.2024
Tatiana
I would like to express my sincere gratitude to the doctor Ibragimova Zarema Almanovna for her highest professionalism, humanity and concern. She is a truly wonderful doctor who not only treats each patient attentively, but also approaches her work with exceptional competence and responsibility. A professional in her field, to whom you can trust your health. Thank you for your care and help!
06.12.2024
Anastasia
I would like to thank Svetlana Viktorovna Kamoeva with all my heart. For her high professionalism, love for her work and for us people. For taking on a difficult, in my case, choice and performing an operation to amputate the cervix, while preserving all my other female organs. Also, at my request, she performed cosmetic surgery on me and now I feel great during intimacy with my husband. Many thanks for her work, for her understanding and always positive, humane approach to the patient. I go to the appointment as if to a holiday.
28.11.2024
Svetlana Anatolyevna Zaitseva
In the fall of 2024, I went to the K+31 clinic, where I was correctly diagnosed and received the competent treatment that I really needed. I would like to note the highest professionalism of all the doctors who worked with me, and I express my heartfelt gratitude to neurologist Sitnikova O. Yu., gastroenterologist Anikina N. Yu., endocrinologist Pivovarova S. V., cardiologist Kambegova A. A., neurosurgeon Fumin I. A., and the nurses from the procedure room. Thank you very much for your work! Deep bow! I am grateful to you for your understanding, warmth, kindness, and desire to help. I wish you success in your difficult, but very necessary, noble work. Health to you, people in white coats!
21.11.2024
Tsybriy L.A.
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K+31 on Lobachevskogo

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