A pubovaginal sling is a surgical procedure to correct urinary incontinence in women. The procedure involves harvesting one’s own (autologous) abdominal fascia and using it like a sling placed underneath the bladder neck.
The procedure is usually performed under general anaesthesia. A vaginal incision and a lower abdominal incision are made to harvest the fascia and to insert the sling underneath the bladder neck. After the surgery, 3-7 days of hospitalization may be required to monitor the recovery and assess for any complications. After discharge the patient is instructed to avoid heaving lifting, straining or sexual intercourse for 6 weeks.
Possible complications of a pubovaginal sling include,but are not exclusive to bleeding, infection, urinary retention, de novo overactive bladder symptoms including urge urinary incontinence and urinary tract infections.