Regain Bladder Control with a Urethral Sling



No more pads… Urethral Sling Cures Incontinence:  For over 15 years, this revolutionary procedure restores bladder control for women who lose urine when they cough or exercise. A thin ribbon lifts the urethra, restoring it to a normal position during this 15-minute procedure. Over 85% of women report significant improvement, regaining bladder control and freedom to enjoy their active lives in just a few days.

The first time you leaked when you laughed or sneezed, you probably were surprised and didn’t think much about it. Those things happen, right? But when this occurred more frequently with exercise, picking up something heavy, or coughing resulted in urine leakage, you probably reacted the way most practical women do. You began wearing sanitary napkins, dark clothing—anything that would help you hide what was becoming embarrassing, and you may have accepted losing bladder control as a normal part of getting older.

Urine LeakageIt’s not normal and it’s called stress urinary incontinence (SUI), when involuntary loss of urine occurs during sudden movements that put pressure on the bladder. 1 in 6 women suffer from SUI and many recall that it began after childbirth.

While Kegel exercises should be attempted first, unfortunately, they often fail for more advanced SUI. If a woman has finished having children, a minimally invasive treatment can fix SUI, allowing her to return to a full and active life. A urethral sling can stop urine leakage by supporting your urethra with a tape-like strip of mesh. This outpatient procedure has shown excellent results for the treatment of SUI. A clinical study demonstrated that even 7 years after treatment, 81% of women who underwent a TVT urethral sling were cured and an additional 16% were improved. To date, more than 2 million patients worldwide have been treated.

Regain Bladder Control & Your Dignity…


During this outpatient procedure, the doctor inserts a strip of mesh-like tape through a ½ inch vaginal incision under the urethra to create a supportive sling. This reestablishes support and allows the urethra to remain closed when appropriate, preventing urine loss during sudden movements or exercise. The procedure takes approximately 15 minutes—and can be performed under local, regional or general anesthesia.

Patients treated with a urethral sling go home a few hours after the procedure and can expect a short recovery period, returning to most activities in a few days. During this time, there should be little interference with daily activities; however, you should avoid heavy lifting and intercourse for 4 weeks.

Unfortunately, many doctors are too busy or just not interested in incontinence—not Dr. Kramer who is one of the most experienced surgeons at performing urethral slings in Northern California. He has performed hundreds of incontinence procedures. He finds this to be one of the most satisfying treatments by helping you become empowered to not only regain bladder control but also your dignity.

There is no controversy (nor FDA warning) regarding the use of prolene mesh implants as urethral slings, which have become the gold standard for surgical correction of stress urinary incontinence with over 15 years in clinical use.


Urethral Sling Video

Bonnie Blair Sling












 Remeex Adjustable Sling

When a patient coughs, sneezes, laughs, or lifts something; the pressure inside the abdomen increases. This pressure pushes on the bladder. In a continent woman, the pressure is also transmitted to the urethra, and the urethra collapses as it is squeezed against the pelvic floor (like stepping on a garden hose), matching the bladder pressure and maintains continence. In incontinent women, the weakened pelvic floor does not adequately support the urethra to match the bladder pressure under stress, and consequently urine leaks.

Remeex adjustable sling

Like other urethral slings, the Remeex Adjustable Sling helps to reestablish this dynamic pressure transmission so women regain bladder control when straining. However on the day after surgery, the sling is adjusted specifically for each patient as it is gradually tightened while the woman coughs until no urine leaks, yet allows for emptying the bladder when desired. While rarely needed, this adjustment can be “fine-tuned” in the future should leakage reoccur. Because of this, it is in my opinion that Remeex Adjustable Sling is one of the best slings for women who have failed previous anti-incontinence procedures. The sling is a small strip of mesh, but can also be made from a small strip of fascia (connective tissue layer from the patient’s abdominal muscle) when preferred.

So if you’ve tried Kegels or other treatments for stress incontinence and continue to leak urine come see how we can help you return to all your activities without fear of urine leakage.



Dr Scott Kramer


Voted One of Northern California’s
Best Gynecologists



Less pain, less cost,
& less recovery time

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