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Mid-Urethral Sling Placement

Anesthesia Implications
Position : Supine, Lithotomy, arms at side on armboards
Time : 30-60 min (short)
Blood Loss : Very Low (5-10 ml)
Maintenance Paralytic : No

Anesthetic Approaches

1GLMA
The Surgery:

Urethral slings are placed in women with stress incontinence. The urethra is lifted with a sling and sutured to the abdominal wall. This adds additional pressure to the urethra which aids in urinary retention.


Reference

American Urological Association. Guideline for the surgical management of female stress urinary incontinence. 2009