I have not had the sling procedure. But I have heard people have had good results with it. It's primarily a personal decision. Just sounds painful to me. The amitriptyline I took for awhile with no positive results (it just didn't work for me). Good luck to you. You are very young to have to go through this. Stay positive and always make sure you get 2nd opinions when it comes to Urologist. Read reviews from doctors patients also. There's a lot of Urologist that are more in it for the money than looking after your best welfare. Not saying they are all bad, they're not! But as in all business, you have ones that unfortunately take advantage of people with good insurance.