The Desara® Sling System for Stress Urinary Incontinence offers surgeons outstanding flexibility and ease of use. Desara® can be used with any surgical approach including transvaginal, suprapubic, and transobturator. No matter what surgical technique is desired, Caldera offers a reusable instrument, allowing the surgeon to choose the best approach for each individual patient. The Next Generation in Mesh Sling Technology Desara® is composed of large pore monofilament polypropylene mesh, the standard for synthetic sling procedures. But we didn?t stop there. Desara® takes mesh technology to the next level. Desara‘s unique mesh construction is specifically engineered to maintain its integrity and lay flat under the urethra when placed under tension.