What is the diagnosis for a patient scheduled for a "sling" procedure, such as TVT or MMK?

The diagnosis for a patient scheduled for a "sling" procedure, like a tension-free vaginal tape (TVT) or Marshall-Marchetti-Krantz (MMK) procedure, is urinary stress incontinence. These surgical interventions are specifically designed to provide support to the urethra and help prevent involuntary leakage of urine during activities that increase abdominal pressure, such as coughing, sneezing, or exercise.

Stress incontinence is characterized by the involuntary loss of urine due to increased intra-abdominal pressure, and sling procedures effectively address this issue by creating a supportive mesh that helps keep the urethra closed during moments of exertion.

Other conditions listed, such as pelvic organ prolapse, bladder obstruction, and chronic urinary retention, involve different pathophysiological mechanisms and would require alternative treatment approaches. For instance, while pelvic organ prolapse may sometimes coincide with urinary incontinence, it does not specifically indicate the need for a sling procedure, as prolapse treatments might involve different surgical techniques. Similarly, bladder obstruction and chronic urinary retention would necessitate interventions focused on addressing the underlying causes of urine retention or flow obstruction, rather than focusing on the mechanics of stress incontinence.