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Urinary Incontinence

Bladder and Urethral Sling Treatments

At Z Urology, we offer state-of-the-art urethral and bladder sling procedures to treat urinary incontinence. Our expert urologists use cutting-edge techniques to provide effective, long-lasting solutions for regaining bladder control and improving quality of life.
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What are Urethral Slings and Bladder Slings?

Urethral and bladder slings are surgical treatments designed to provide support to the urethra or bladder neck, preventing involuntary urine leakage. These procedures are particularly effective for patients with stress urinary incontinence (SUI), offering a long-term solution that can dramatically improve quality of life.

The benefits of this treatment are:

  • Highly effective for treating stress urinary incontinence
  • Minimally invasive procedure
  • Quick recovery time
  • Long-lasting results
  • Improved quality of life and confidence

Bladder and urethral sling surgeries are used to treat urinary incontinence that cannot be successfully treated with medication. A surgeon uses your own tissue, strips of synthetic mesh, or animal or donor tissue to create a sling under your urethra or bladder neck. The sling supports the urethra and helps keep it closed to prevent urine leakage.

Types of Sling Procedures to Treat Urinary Incontinence  

At Z Urology, we offer two main types of sling procedures, as explained below.  Our experienced urologists at Z Urology will determine the best approach for your specific condition during your consultation.

Tension-Free Sling

Tension-free slings (or midurethral slings) do not require stitches. The procedure uses a strip of synthetic mesh tape to support the urethra. Scar tissue eventually forms around the mesh and keeps it from moving.

There are three approaches:

  • Retropubic: A surgeon makes a small incision inside the vagina and two small openings above the pubic bone just big enough for a needle to pass through.
  • Transobturator: A surgeon makes an incision similarly in the vagina, but also creates a small opening on each side of the labia for a needle to pass through.
  • Single-incision mini: A surgeon has only one small incision in the vagina to perform the procedure.

Conventional Sling

A conventional sling uses synthetic mesh tape, your own tissue, or donor tissue to create a sling under the urethra or bladder neck.

The sling is pulled through an incision in the abdomen and the surgeon adjusts the tension. Each end of the sling is attached to pelvic tissue using stitches

Types of Sling Procedures to Treat Urinary Incontinence  

The urethral sling procedure at Z Urology is typically performed as an outpatient surgery under general anesthesia. Here's what you can expect:

  1. A small incision is made in the vagina (for women) or the area between the scrotum and rectum (for men).
  2. The sling material is placed under the urethra or bladder neck.
  3. The sling is adjusted to provide the right amount of support.
  4. The incision is closed with dissolvable stitches.

The entire procedure usually takes 30-60 minutes. Patients can usually go home the same day, and most experience minimal discomfort. 

It’s important to follow your doctor’s post-operative instructions to ensure a smooth recovery.

Patient Feedback for Z Urology

Our patients are the reason we strive for exceptional urological care and treatment! Here’s what some of our South Florida patients are saying about their experience at our clinics.
  • I have recommended many people to this office and each one has thanked me. On a scale of 1 to 5 (5 being the best), Dr. Z and his staff are a 12.
    – Alex S.
  • The wait was not long. I was greeted by a friendly nurse who took my sonogram of the kidneys and bladder. The doctor came in after a short time. Dr. Hollowell has a gentle voice and great bedside manner. He is very informative about my issues and I left feeling relieved and hopeful for future visits. The receptionists were also helpful and friendly. I recommend this office. Just wish it was closer to home.
    – Allison T.
  • "I found Doctor Varghese through my insurance provider network and read reviews in Healthgrades. Dr. Varghese is terrific. She explains things so they are easy to understand. I feel she is on top of several medical problems I’m having. I had a cystoscopy and was offered nitric oxide (mild gas). It was perfect. I have had the procedure in the past but it was the most uncomfortable feeling I ever experienced. Not this time. Doctor Varghese is an excellent listener and remembers what I tell her from the previous visits.

    Let me sum up my feelings about being under Dr. Varghese's care. I have new health insurance now so I can see doctors near my home, but instead I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL [to see her].”
    – Jeffery P.
  • “I've been coming here for cancer for 10 years and I've had nothing but good visits every time. Staff is friendly and the doctors and PA'S are great. Dr. Z takes the time to ask questions and explain everything. He is amazing.”

    – Bill S.
  • “El Dr. Pedro Espino Grosso es un médico especialista en Urología es también especialista en entender, comprender y atender la preocupación de su paciente. Gracias por su profesionalismo como para todo el staff y las enfermeras por su amable y compasivo trato. Por favor no cambien!”
    – Ana L.
  • I have new health insurance now so I can see doctors near my home, but instead, I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL to visit Z Urology!
    – Jeffery P.

  • “Dr. Mini Varghese of Z Urology is without a doubt the best Urologist in South Florida. She not only takes care of my father but now she's taking care of all my needs too. The team she has behind her at Z Urology is amazing, they go up and beyond their call of duty. A big shoutout to Z Urology in Pompano Beach, FL, thanks for keeping the pipes flowing...you gals are the Best!!!! Thanks Dr. Varghese.”
    – Brent S.
  • “Dr. Brar was awesome! He was very thorough with everything to ensure we got to the bottom of my issue! I felt like he cared and listened. I will be going back. The office was busy and some people were waiting a while but I was seen fairly quickly, I did fill out all the paperwork ahead of time so not sure if that helped! The person who helped me at the front desk was great and helped me with all my questions.”
    – Britney C.
  • Everyone seemed nice, friendly and welcoming. I was also impressed with the examination and the way the staff treated me. Dr. Mike took the time with me to listen and advise me as to what treatment plan might be needed.
    – Jimmy Z.
  • Great specialist, hard to find a more personable and efficient medical office anywhere else. I was welcome from the moment I came in, everyone was very friendly and all my questions and needs were expertly attended to. Never been to a urologist so this was new to me, but I definitely felt comfortable and heard. It was a drive from neighboring Miami but well worth it. Highly recommend. Thanks, Dr. Z!
    – Jose T.

  • Thank you Dr. Michael Zahalsky for the surgery, you changed my life completely. I'm so happy, now no more pain and I'm feeling better than ever, thanks again for the great staff in your office. Very professional. Felt like family.
    – Frank C.

  • They are very friendly. My surgeon went through the same procedure and read my mind of all my concerns. He reassured me everything would be okay and life would go on.
    – Jeremy C.


  • Three words: Kind, Caring and Compassionate! This office is the best of the best. The front desk employees are super friendly and the doctors are professional and spoke to me in a down-to-earth & making it easier for me to understand what was going on. I am able to make informed decisions with the material that was provided to me.
    – A.D.Z.



  • I had a great first visit with Dr. Z and his staff. I was seen within a reasonable amount of time. Dr. Z was personable and, after hearing my history and doing a targeted physical exam, directed his staff to perform ultrasound and bladder testing which was done efficiently and with discretion. Dr. Z then came in and spent a good amount of time explaining a clinical treatment plan. I left feeling I was in the hands of a total professional office from the top down.
    – Harvey A.




  • Z urology is the best and I have to say Dr. Zahalsky is extremely knowledgeable and such a humble and pleasant human being. I always feel welcome at Z Urology.
    – Kimaro W.





In Network with Most Insurance Plans


Our clinic accepts most major insurance plans and offers flexible financing options to ensure you receive the care you need. Our team will work with you to maximize your benefits and minimize out-of-pocket costs.
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Questions about insurance coverage?

Contact our office at (954) 714-8200. Additionally, we encourage you to call your insurance provider to confirm what your coverage includes.

Schedule an Appointment Today

Patients who undergo bladder or urethral sling procedures at Z Urology often report significant improvements in their quality of life. The reduction or elimination of urinary incontinence allows for greater freedom and confidence, opening up new opportunities for activities that were once avoided.

Ready to address stress urinary incontinence? Reach out to Z Urology for a consultation today.
Schedule an Appointment
or Call (954) 714-8200
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