Dr. Clay Williams, affiliated with the University of Texas Health East Texas Medical Center in Tyler, Texas, has recently trademarked a procedure known as the MISIS™ (Minimally Invasive Single Incision Sling Technique). His trademark was officially published on July 23rd for this technique that involves the use of a small piece of polypropylene mesh, which is placed through a single incision beneath the urethra within the vagina.
Dr. Williams prefers the Boston Scientific Solyx sling, which he has utilized successfully for many years, achieving significant results in relieving women’s stress incontinence. Notably, this procedure is performed without general anesthesia; instead, it requires only light sedation using propofol, allowing patients to awaken without the grogginess associated with narcotics.
Patients remain comfortable and unaware during the surgery, experiencing no pain. Dr. Williams employs a specific injection pattern with Marcaine to target potential pain points during and after the procedure. This enables him to complete the sling placement in approximately 5 to 9 minutes. Patients typically wake up feeling great, and they experience immediate dryness.
The recovery time associated with this innovative technique is around one week, with most patients returning to normal activities—including exercise, weight lifting, running, swimming, household chores, and sexual activity—within one to two weeks.