Brief Answer:
Surgery to remove the sling may be needed if intractable pain is present

Detailed Answer:
Hello and welcome to Ask a Doctor service,

I carefully read your query and understand your concern,

Pain is a rare complication of sling surgery. Generally, pain medications are used and if this is not helping enough, surgery may be conducted to remove the sling. This may be needed as the sling may be causing pressure on the nerves and muscles locally causing erosions and local damage leading to difficult to control pain.

In these cases, the sling is removed and it will is not recommended to use a second sling to substitute it.

This is information you need to discuss with the doctor and together come up with a decision on possible further treatment.

I hope this answers your query. I remain at your disposal in case further medical assistance is needed.

Regards,
Dr. Antoneta Zotaj,
General and Family Physician

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Brief Answer:
Detailed answer below

Detailed Answer:
Hello and welcome back,

Most literature recommends sling removal if the pain is not responding to anti-inflammatory drugs (ibuprofen or steroids) Implantable nerve pain interceptors are mostly used for chronic back pain. Recent studies are brining in focus use peripheral neuromodulation, such as PTNS, SNM, or pudendal nerve stimulation for patients with pelvic or urogenital pain in general (not specifically related to sling surgery).

You may discuss this information with your doctor so he can decide if these techniques can be used in the case of your wife. This will need a good evaluation as in her case, the cause of the pain is still present and the doctor will need to decide if this treatment is going to be beneficial to her or not.

I hope this answers your query. I remain at your disposal in case further medical assistance is needed.

Regards,
Dr. Antoneta Zotaj,
General and Family Physician

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