periurethral sling
A surgical mesh device placed around the urethra to treat stress urinary incontinence by providing support during increased abdominal pressure.
Full Definition
A periurethral sling is a surgical device, typically made of synthetic mesh or autologous tissue, that is placed around the mid-urethra to treat stress urinary incontinence in women. The sling functions by providing a stable platform that supports the urethra during activities that increase intra-abdominal pressure, such as coughing, sneezing, or exercise. Common types include tension-free vaginal tape (TVT), transobturator tape (TOT), and single-incision slings. The procedure is minimally invasive and can be performed under local anesthesia. While generally effective, potential complications include mesh erosion, urinary retention, and de novo urgency. The choice of sling type depends on patient anatomy, surgeon experience, and individual risk factors.
Usage
Usage note: Generic term for various types of mid-urethral slings; specify technique when documenting procedures.
In Context
- "The patient underwent placement of a periurethral sling via the retropubic approach." — Operative report
- "Post-operative cystoscopy confirmed appropriate placement of the periurethral sling without bladder perforation." — Procedure verification note