CPT® Code 57288

A sling operation for stress incontinence is a surgical procedure designed to provide support to the urethra and bladder neck, thereby alleviating symptoms associated with stress urinary incontinence. This condition occurs when physical activities such as coughing, sneezing, or exercise lead to involuntary leakage of urine. The procedure can utilize either a fascial autograft, which is a strip of tissue taken from the patient's own abdominal fascia, or a synthetic material designed to mimic the support provided by natural tissue. The surgical approach involves making incisions in the lower abdomen and vaginal wall to access the necessary anatomical structures. By creating small tunnels on either side of the urethra, the surgeon can position the sling beneath the urethra and around the bladder neck, effectively providing the required support. The ends of the sling are then secured to the pelvic fascia or abdominal wall, ensuring stability and reducing the likelihood of urinary leakage during physical activities. This operation is typically indicated for patients who have not found relief from conservative treatments for stress incontinence.