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Dr.Niraj Mahajan
Dr.Niraj Mahajan
Dr.Niraj Mahajan

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.

Advantages

  • 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

Preparation

  • 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

Pre Surgery

  • 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

Procedure

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

Post Surgery

  • 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

"Authored By Dr.Niraj Mahajan"

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Dr. Niraj Mahajan

MD- Gynecologist, Laparoscopic Surgeon, Uro-gynecologist , Infertility specialist & Cosmetic Gynecologist.

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