4 Questions Before Agreeing to a Bladder Mesh Sling

If leaks have changed the exercise you choose or the clothes you pack, surgery can sound like a way to stop planning around them. Take those goals into the consultation, along with questions about the proposed procedure.

Four questions before consent

1. Which procedure and product are proposed? Ask whether mesh will be used, which product it is and for its patient information. Ask about the surgeon’s training and experience with that procedure.¹
2. What are my alternatives? Ask why this option is recommended for you and how a repair without mesh compares. Include non-surgical choices in the discussion.¹
3. What will recovery require? Ask what to expect after surgery and how recovery differs between the options. Bring the work, exercise and caregiving tasks you will need to plan around.¹
4. What happens if there is a complication or leakage continues? Mesh erosion can require further surgery. Ask which symptoms to report and whether the surgeon would manage a complication or refer you to a specialist.¹

Put your goal beside the proposed plan

Write the activity you hope to return to at the top of your consultation note. Then ask the surgeon to explain what improvement means for your circumstances. Keep the patient information with that note so you can review both before deciding.

If you have already had a sling, tell your clinician about persistent vaginal bleeding or discharge, pelvic or groin pain, or pain during sex. Let clinicians know about the implant when planning other procedures.¹

Ask who will arrange follow-up and how to reach the team with a concern. Keep the contact information where you can find it after the appointment.

Laugh, Sneeze, Jump includes a three-day bladder log and an appointment prep sheet. Use them to organize the leaks, activities and surgical questions you want reviewed. See the book.