Mid-Urethral Sling Specialist

Dr. Daniel Stone, MD FACOG

Urogynecologist located in Phoenix, AZ

Dr. Daniel Stone, MD performs Mid-Urethral Slings for patients in the Phoenix, Scottsdale and surrounding Arizona areas. These procedures can help patients that suffer from Stress Urinary Incontinence.

Mid-urethral Sling Q & A

  • What is a Mid-Urethral Sling?

    A mid-urethral sling is a procedure that treats Stress Urinary Incontinence or leakage of urine with coughing laughing or sneezing.

    During this procedure, Dr. Stone will make 1 small incision in the vagina and 2 small incisions right above the pubic bone. Using specially designed needles, he will then position a small piece of mesh underneath the urethra by pulling the ends of the mesh through the skin incision. After the surgery, the tissue grows into the weave of the mesh to secure the sling.

  • How successful is the Mid-Urethral Sling procedure?

    98% of Dr. Stone’s patients are satisfied with the results of a mid-urethral sling. It is the most well-studied procedure for stress incontinence and is one of the safest and most successful procedures for stress incontinence. It is widely considered the gold standard.

  • What are the risks associated with the Mid-Urethral Sling?

    Dr. Stone does hundreds of mid-urethral slings a year and has a very low complication rate. However, it is still a surgery and there are some risks which include the following

    • Pain, swelling, numbness near incision sites
    • Infection
    • Bleeding
    • Bladder injury (around 0.5%)
    • Mesh exposure (around 0.5%)
    • Blood clots and problems related to anesthesia
    • Difficulty emptying the bladder.
      • Short term difficulty (1-3 days) 25%
      • Prolonged difficulty (1-4 weeks) 1%
      • Long term difficulty requiring a sling release 0.5%

  • Are there surgical alternatives to Mid-Urethral Sling?

    Yes and Dr. Stone specializes in these procedures as well. However, these procedures, in general, are thought to have a higher risk compared to the mid-urethral sling

    Laparoscopic Burch procedure: Dr. Stone does this procedure laparoscopically. It is done by dissecting the bladder off of the pubic bone and attaching the tissue near the urethra to a pelvic ligament called cooper’s ligament. This is an older procedure that was widely replaced by the sling. Its success rate is comparable to a mid-urethral sling but does have an increased complication rate due to the extra step of needing to perform a laparoscopic procedure and dissection of the bladder. However, it is still used by Dr. Stone in certain scenarios including

    • Women who do not want mesh
    • Women who have had prior mesh complications
    • Women who have undergone prior radiation

    Pubovaginal (fascial) slings: This procedure is very similar to a mid-urethral sling but instead of using mesh, Dr. Stone will obtain a stip of your own fascia, usually from your thigh but sometimes from your abdomen. He will then use this strip of fascia and position it under the urethra. This is an older procedure that was widely replaced by the sling. Its success rate is comparable to a mid-urethral sling but does have an increased complication rate due to the extra step required of obtaining the fascia. However, it is still used by Dr. Stone in certain scenarios including

    • Women who do not want mesh
    • Women who have had prior mesh complications
    • Women who have undergone prior radiation

  • Isn’t mesh dangerous?

    • There are risks with using mesh and the risks vary widely by where the mesh is placed, how much mesh is placed, how the mesh is placed, and the experience of the surgeon placing the mash.
    • Stone has a very low complication rate and is very experienced in placing this type of mesh. Mesh complication rates for a mid-urethral sling are around 0.5 percent for his patients. He will discuss these risks with you and discuss alternatives with you. He truly believes that a patient should be the ultimate decision-maker when it comes to what is placed in her body.

  • Are there non-surgical alternatives to Mid-Urethral Slings?

    Yes, there are several nonsurgical alternatives to mid-urethral slings including

  • What is the recovery like?

    Dr. Stone recommends 2 weeks of no heavy lifting (no more than 15 lbs) and 6 weeks of pelvic rest after a mid-urethral sling. That being said, if other surgeries were performed at the same time, he may recommend 6 weeks of no heavy lifting.

  • Are there any other surgeries that are commonly performed with a Mid-Urethral Sling?

    Dr. Stone will discuss with you any other surgeries that would be performed at the same time. Other commonly performed surgeries include:

  • What other resources should I look at?

Retropubic Sling
Retropubic sling

Testimonials

Debra
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"He actually took the time and listened to me. After the exam he told me that he wanted to try another pessary before committing to surgery. He fit one in and it worked! I haven't felt this good in years. I'm so so grateful to him!"
Madeline
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"He is one of the most caring docs I've ever been to. I've been struggling with this problem for years and have been to 3 docs before I saw him."
Sandy
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"Dr. Stone is a really good doctor. After I had the urethra sling surgery Dr Stone called me at home to see how I was doing. The office staff is good. Dr Stone's nurse Iris is really good she returns calls. I will refer my family and friends to this office."
Debra
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"Dr. Stone has been wonderful. I was very hesitant at first to see a man but he put me completely at ease. I was able to speak to him about my problem with leakage. He discussed several options and gave me choices which I loved. Eventually I decided on surgery. The surgery went well and I finally have my life back again."
Tina
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"I highly recommend him. I will be referring all my loved ones if ever they develop problems."
Betsy
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"He put us at ease about the surgery by really explaining the procedure in detail to me, my husband and my daughter. He made me feel like I was his only patient."
Joyce
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"Awesome!! Would give him 10 stars!!!!! Dr. Stone took the time to fully explain medical procedures. He patiently answered all my questions."
Alice
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"His bed-side manner put me at ease discussing a very embarrassing topic. I'd recommend him to anyone."
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Major Insurance Providers Accepted

We accept most insurance policies for your convenience. Please contact your insurance carrier to verify your individual benefits and any copays or coinsurance that are part of your plan. Patients are responsible for notifying our office if a specific plan requires precertification, preauthorization, or a referral (especially HMOs). Please call the phone number on the back of your insurance card to verify your provider network participation as insurance carriers change policies often.

Schedule your appointment with Dr. Stone today

One of our staff members will contact you directly. If you have any concerns requiring immediate attention, please don’t hesitate to call us at 602-788-1521.

Dr. Stone is also offering Telemedicine visits. Call to schedule today.

Office location

Valley Urogynecology Associates

1616 East Maryland Avenue

Phoenix, Arizona 85016-1302

Office Hours: Monday-Friday from 8 AM – 5 PM

Main: (602) 788-1521

Fax: (602) 688-5420

Conveniently located just off Highway 51 on Maryland Avenue just East of 16TH Street between East Bethany Home Road and East Glendale Avenue.