Dr. Alinsod explains how incontinence is treated.
The current treatment, the gold standard for incontinence, is a tension-free sling system. There’s many approaches you can place this tension-free sling. Tension-free means you are putting a sling in, it’s usually about a centimeter in diameter and yay long, underneath the urethra to support the urethra so that when you cough and sneeze there is a backboard that compresses the urethra.
Tension-free means that you are not suturing it to anything. You are putting this mesh in underneath the urethra and leaving alone. You are going to ask, “How the heck does that work?”
Well, you are putting this mesh in underneath the urethra, and the patient’s own fiber blast or cells, grab these meshes and keep it in its proper location. So now it moves like you move. It’s not fixed, it’s not sutured, it’s not drilled into a bone; it moves as you move naturally, and guess what, it actually works.
This was invented in Europe, and Americans were about seven to ten years behind and we finally copied the Europeans, and it has now become the gold standard to put these tension-free slings. Now these slings can be placed many ways. It can be placed through the vagina, through the abdomen or through this little space called the obturator foramen which is probably the majority of doctors doing because it’s quite a safe procedure with almost no risk of damage to the bladder, almost no risk of damage to bowel.
About Dr. Alinsod, M.D., F.A.C.O.G., A.C.G.E.:
Dr. Red Alinsod, M.D., F.A.C.O.G., A.C.G.E., graduated from Loma Linda University School of Medicine, Loma Linda, California, in 1986 and completed his OB/GYN residency at Loma Linda University Medical Center in 1990. His focus in those early years was pelvic surgery. He was the first Rutledge Fellow at MD Anderson Cancer and Tumor Institute and was also selected as a Galloway Fellow at Memorial Sloan Kettering Medical Center.
Visit Dr. Alinsod at South Coast Urogynecology