Unique, Evidence-Based Treatment for Stress Urinary Incontinence
By
Dr. Salil Khandwala
MD FACOG URPS · Inventor of DISST®
A single, awake procedure developed exclusively by Dr. Khandwala — featuring the Dynamic Intraoperative Standing Sling Technique (DISST®), with a published 97% long-term success rate. No more pads. Back to normal activity the next day. Covered by most major insurance plans.
Meet the Surgeon Who Invented the DISST® (Dynamic Intraoperative Standing Sling Technique)
Dr. Salil Khandwala is a board-certified urogynecologist, fellowship-trained researcher, and national educator who developed a surgical technique unavailable anywhere else — because he's the one who invented it.
Dr. Salil Khandwala
MD FACOG URPS · Medical Director, AUGM
Fellowship-trained, published, and a national educator — Dr. Khandwala has dedicated his career to advancing the treatment of stress urinary incontinence, and has personally treated thousands of women across Michigan as the innovator of DISST®.
Fellowship-Trained Urogynecologist
Among the first in the country to be board certified in Urogynecology & Pelvic Reconstructive Surgery (URPS), fellowship-trained in Female Pelvic Medicine & Reconstructive Surgery at the University of Maryland.
Published Researcher
Author of peer-reviewed research on DISST® outcomes, including published 3-year long-term success data — real evidence behind the 97% success rate.
Educator
National speaker who regularly lectures on urogynecologic surgery and has trained other physicians on minimally invasive incontinence treatment. Former Assistant Professor, University of Maryland.
Innovator of DISST®
Developed and published the Dynamic Intraoperative Standing Sling Technique — achieving a 97% long-term success rate, nearly double the industry standard.
DISST® — Dynamic Intraoperative Standing Sling Technique
DISST® (Dynamic Intraoperative Standing Sling Technique) was developed exclusively by Dr. Salil Khandwala — it is not taught or performed anywhere else. Most surgeons still rely on outdated sling techniques with a 55% success rate. DISST® is performed while the patient is awake and standing, so Dr. Khandwala can dynamically adjust the sling for the best possible outcome in real time.
Tension is set once, with the patient lying down under general anesthesia — before anyone knows if it actually stops the leak. Performed by many surgeons nationwide.
Tension is adjusted while the patient is standing and awake, so the fix is confirmed to work before the procedure ends. Available exclusively from Dr. Khandwala.
Local Anesthesia, Light Sedation
Minute 0No general anesthesia. You're comfortable, but awake and aware throughout — which is what makes the next step possible.
Sling Placed, Then Tested Standing Up
The DISST® StepInstead of guessing at tension while you lie down, Dr. Khandwala has you stand and cough or bear down, reproducing the exact leakage he's treating — in real time, in the room.
Tension Adjusted Until the Leak Stops
Minute 15Because the test happens live, the sling can be fine-tuned on the spot — not sent home and hoped for.
Home the Same Day, Active by Tomorrow
Minute 20No overnight stay. Most patients resume normal activity, including exercise, the very next day.
Why Patients Travel for This Procedure
Because DISST® was developed exclusively by Dr. Khandwala and is not available at any other practice, women travel from across Michigan — and beyond — specifically to have this procedure performed by the surgeon who created it. When a technique is this unique, the location matters less than the surgeon performing it.
Real Women. Real Results.
Don't just take our word for it — hear directly from patients who had the DISST® procedure and got their lives back.
Women Dr. Khandwala Helps Every Day
If any of this sounds familiar, you're exactly who Dr. Khandwala treats — and DISST® may be the permanent fix you've been looking for.
Physical Health
Constant wetness causes skin irritation and hygiene issues. Pads weaken pelvic muscles further over time instead of solving the problem.
Social Life
Exercise, travel, and social plans get quietly cancelled. The fear of leaking in public shrinks your world one "no" at a time.
Mental Health
Nearly 30% of women with untreated bladder leakage develop depression. The loss of confidence and control takes a real emotional toll.
Relationships
Fear of leakage during intimacy leads many women to avoid it altogether — quietly creating distance in relationships over time.
Your Questions, Answered
The things every woman wants to know before booking: is it actually true, will insurance cover it, and did it really work for someone like me?
"I've seen mesh complication ads on TV — I'm scared."
This is the #1 fear we hear, and it's important to address directly: DISST® has a less than 1% complication rate. The mesh scares from national TV ad campaigns refer to older, different procedures — not this one, and not Dr. Khandwala's technique.
"This is just part of getting older."
Aging does not mean you must accept leakage. It's a treatable medical condition at any age — not an inevitable one.
"Pads are my only option."
Pads hide the problem, they don't fix it. A permanent solution exists with a 97% success rate — pads should never be the long-term plan.
"It sounds like major surgery."
It's a 20-minute procedure at a surgicenter, done while you're awake with local anesthesia. It is not major surgery, and there's no overnight stay.
"A prior sling procedure failed for me — nothing will work."
Dr. Khandwala frequently treats revision and complex cases where a previous procedure didn't work. It's worth a second opinion before giving up.
"I'm probably the only one dealing with this."
1 in 3 women experience bladder leakage. You are far from alone — millions simply don't talk about it.
Completely covered by most major insurance providers — including Medicare. Stop spending money every month on pads that only hide the problem.
From First Call to Treated — in 3 Simple Steps
No months of waiting, no runaround. Most patients leave their first visit with a clear plan — and many start treatment the same day.
Quick Intake
Fill out a short online history through our secure patient portal — takes just a few minutes before your visit.
Exam & Consult
A focused in-office exam (10–15 minutes) gives Dr. Khandwala an accurate diagnosis, followed by a clear, unhurried conversation about your options.
Same-Day Treatment Plan
Most patients leave with a treatment plan the same visit — many are scheduled for the DISST® procedure right away.