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The retropubic synthetic sling procedure was the first of this kind of operation used to treat Stress Incontinence. It uses specially designed needles attached to sling material to help support your .The sling is made of a standard approved material called polypropylene and is about 1cm wide and 40cm long. The sling material is attached to two stainless steel needles that are passed from an incision in the vagina to a previously-made incision above in the pubic area. Complications : Injury to the bladder or urethra (perforation). Difficulty urinating after surgery. There is also a risk of problems caused by the mesh tape used in the surgery. These can include wearing away of the tissue in the pelvis.. All surgeries involve risk, and sling procedures are no different. Minor problems that might happen after the surgery are somewhat common after slings, although serious complications are uncommon. Bladder infection (cystitis) and temporary problems with urination are the most common problems after sling surgeries. Major complications during surgery are rare and do not differ much among different types of slings. Blood collections occur in a few percent of patients after slings, but serious bleeding and blood transfusions are extremely rare. How much success has the doctor had in treating incontinence with surgery? The success of surgical procedures for urinary incontinence depends on the experience and skill of the surgeon. Is there anything I can do to increase the likelihood of a successful surgery? Losing weight, quitting smoking, or doing pelvic floor (Kegel) exercises prior to surgery may increase the likelihood of regaining continence after surgery.