This procedure employs the suprapubic insertion of arced needles (hence SPARC) for the surgical implantation of an adjustable sling that serves to support the urethra.
This procedure treats urinary stress incontinence in women. This is the most common type of incontinence in women. The bladder is supported by muscles of the pelvic floor and if these muscles weaken, the bladder can move downward, pushing slightly out of the bottom of the pelvis toward the vagina. This prevents muscles that ordinarily force the urethra shut from squeezing as tightly as they should. As a result, urine can leak into the urethra during moments of physical stress and even mundane things such as exercise, coughing, and sneezing.
This procedure is done through a 'top-down' (suprapubic) approach that inserts needles into the abdomen and out of the vagina. This is in contrast to other sling procedures such as the Tension Free Tape (TVT) procedure that uses a 'bottom-up' approach inserting needles into the vagina and out of the abdomen. There is less risk involved with the suprapubic technique of the SPARC procedure addressing the complications that have resulted from TVT use. This is an outpatient procedure that takes 20-30 minutes.