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Urological Services, P.C.
Michael J. Macksood, D.O., F.A.C.S.


By Michael Macksood, DO, FACS

The trend in urology as in other surgical fields over the last 5 years has been to offer patients less invasive yet still successful treatments for many common conditions. As urologists female stress urinary incontinence is one of the most common conditions we treat. We now have very successful and safe minimally invasive procedures to deal with this condition.

Female Stress Urinary Incontinence

Stress urinary incontinence (SUI) affects 17 million women in the U.S. While not a serious medical problem, it is a big quality of life issue, which causes depression, embarrassment and alteration in life style and activities in many women. SUI by definition is the sudden loss of urine with a force exerted on the bladder such as coughing, laughing, lifting or exercising.

Monarc Pubovaginal Sling (PVS) Procedure

For the last several years we have been performing the Monarc pubovaginal sling procedure (PVS) for SUI. The procedure is done through a one-inch incision on the anterior vaginal wall. During the procedure a subfascial hammock of synthetic material is placed under the urethra to elevate and fix the urethra, which helps it close more tightly during activity and prevent leakage of urine. The PVS takes 15 minutes to perform and the patient can go home either the same day or early the following day.

A catheter is most often not necessary and the discomfort is minimal. The complication rate is very low and the success rate is well over 90%. The procedure is covered by most insurance plans.

See also Monarc subfascial hammock website.

Learn more about female urinary incontinence in this article by Dr. Macksood: Urinary Incontinence in Women

If you would like more information on either this or other procedures please contact Dr. Michael Macksood at the number below for an appointment.

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Urological Services, P.C.
1121 West Hill Road
Flint, MI 48507
Tel: 810.232.8888
Fax: 810.232.9190

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