SURGERY FOR URINARY INCONTINENCE
What is it?
- Urinary incontinence is the inability to control the bladder, resulting in urine dribbling through the vaginal vault.
- Often, this can be emotionally strenuous and embarrassing for women, and most of them opt for a surgical procedure.
Urinary incontinence surgery is an invasive process, but provides long lasting benefits.
- The patient is able to exercise control over the passing of urine
- Any involuntary discharge is eliminated, which would otherwise be quite embarrassing for the woman
- It is of prime importance to diagnose the correct reason behind the disorder, as the surgical procedures differ with the causes behind it.
- It is preferred to wait for the surgery if the woman wishes to get pregnant
- The surgery is performed with the patient under anesthetic effect
- The patient is asked to have a void bladder for a few hours before the surgery
The procedure is mostly done in two steps; sling procedure and bladder neck procedure
- In sling procedure, the surgeon uses synthetic mesh strips, the patient's tissue or in rare cases, animal or donor tissue to create a sling under the bladder neck through an incision in the abdominal wall.
- This keeps the bladder neck closed, especially when the patient sneezes or coughs, so that urine does not leak out of the neck
- In some cases, nerve stimulation is used to treat incontinence. However, this can only help in Urge Incontinence, and not in Stress Incontinence
- After surgery, the patient is advised to take complete rest for at least three to four days
- A catheter is inserted into the bladder to facilitate the passing of urine during this period
- After discharge from the hospital, the patient is asked to report to the doctor after certain periods
- Any abnormal discharge or bleeding through the vagina should be immediately reported to the doctor, as it may be a sign of infection