Pubovaginal Sling Specialist
Dr. Daniel Stone, MD FACOG
Urogynecologist located in Phoenix, AZ
Dr. Daniel Stone, MD performs Pubovaginal (fascial) Slings for patients in the Phoenix, Scottsdale and surrounding Arizona areas. These procedures can help patients that suffer from Stress Urinary Incontinence. He specializes in anti-incontinence procedures and is one of the only providers in Arizona who can provide surgical alternatives to mid-urethral slings such as the Pubovaginal (fascial) sling and Burch procedure.
Pubovaginal Sling Q & A
What is a Pubovaginal sling?
A pubovaginal sling, also known as a fascial sling, autologous fascial sling, or bladder neck sling is a surgery where a piece of strong tissue, called fascia, is obtained from either the fascia on the thigh or fascia on the abdomen and is placed underneath the urethra. Dr. Stone will typically make a small incision along the thigh to obtain a strip of fascia lata. He will then make a small suprapubic incision and a vaginal incision to pass the end of the fascia behind the pubic bone.
What condition does a pubovaginal sling treat?
Does a pubovaginal sling use mesh?
No mesh is used during this procedure.
What is the recovery like?
Dr. Stone recommends 6 weeks of no heavy lifting (no more than 15 lbs) and 6 weeks of pelvic rest after a pubovaginal sling.
What are the risks of pubovaginal sling?
Risks include the following:
- Pain, swelling, numbness near incision sites
- Damage to nearby organs such as bowel, bladder, and rectum
- Blood clots and problems related to anesthesia
- Difficulty emptying the bladder.
- Short term difficulty (1-3 days) 40%
- Prolonged difficulty (1-4 weeks) 2%
- Long term difficulty requiring a sling release 1%
What are the alternatives to a pubovaginal sling?
There are several alternatives to pubovaginal slings that Dr. Stone will discuss with you. Conservative alternatives will include "watching and waiting", pessary placement, pelvic floor physical therapy and urethral bulking. The primary surgical alternative is a mid-urethral sling, which is made of mesh. Another non-mesh alternative is the Burch procedure which Dr. Stone performs laparoscopically. Dr. Stone will discuss with you the advantages and disadvantages of each approach and individualize his recommendation based on your values, expectations and specific condition.
Are there any other surgeries that are commonly performed with pubovaginal slings?
Yes, rarely is a pubovaginal sling performed in isolation. Dr. Stone will discuss with you any other surgeries that would be performed at the same time. Other commonly performed surgeries include:
- Hysterectomy (removal of uterus and/or cervix)
- Bilateral Salpingo-oophorectomy (removal of tubes and ovaries)
- Bilateral Salpingectomy (removal of tubes)
- Other prolapse repair surgeries
- Cystoscopy (a camera used to look inside the bladder)
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.
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.