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Urinary incontinence

Gynecological surgery
Procedure in numbers

2-2,5 hours

Time of procedure

7 days

Time of recovery

gynecologist

Who makes procedure

general anasthesia

Type of anasthesia

Other gynecological surgeries
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All about procedure

The problem of urinary incontinence affects one out of eight woman. This is a shameful ailment, often hidden from a doctor, which is considered a chronic disease. It may also be associated with the so-called stress urinary incontinence, which occurs when you sneeze, laugh or lift weights. The causes of urinary incontinence can be:
– infections
– hormone imbalance in women
– delivery by force of nature

Urinary tract infections:

Urinary incontinence often occurs with urinary tract infections. It can be suspected that we have a bacterial infection if, in addition to urinary incontinence, there are other characteristic ailments, e.g. pinching or pain during urination, blunt abdominal pain (if the infection has already affected the bladder), bladder pressure and several urine drops, fever. To get rid of this ailment, you need to see a doctor and do a basic urine test, which will determine the type of infection. The most commonly recommended treatment is antibiotic therapy, which effectively destroys the bacteria responsible for the growth and multiplication of bacteria.

Hormonal disorders:

Disorders in a woman’s hormonal economy most often involve estrogen levels. Estrogen is a hormone produced by the pituitary gland. Disorders in estrogen production have a significant impact on the elasticity of the uterus. Lowering estrogen levels can cause lowering of the organs around the lower abdomen, which has a negative effect on the correct position of the urethra. The natural decline in estrogen levels occurs during menopause.

Childbirth is one of the most common causes of urinary incontinence in women of childbearing potential. During natural childbirth, a woman’s body makes an unimaginable effort. Natural delivery significantly affects muscle tone in the pelvic region. The body is not always able to regenerate 100% after natural delivery. Therefore, urinary incontinence is a common complication after childbirth.

Other causes:

In addition to the reasons mentioned above, the problem of urinary incontinence may also occur in people who perform hard physical work. During exercise, the muscles of the perineum are weakened, which may contribute to this ailment. Another reason may be too much body weight or excessive diuretic use.

Before surgery, the following tests should be performed:

  • morphology
  • blood coagulation factors (APTT, INR)
  • blood group electrolyte level (Na-sodium, K -potassium),
  • creatinine level.

In addition to pharmacological methods that do not always give sufficient results, it is possible to perform surgery using a surgical method, which is considered the most effective form of therapy. Treatment of urinary incontinence can be performed using various methods:

 Tape method:

This procedure involves placing a tape that is designed to physically maintain the correct position of the tubular-bladder angle. Currently, this form of surgery is considered the “gold standard” in the treatment of stress urinary incontinence. There are several types of tapes on the medical market that show similar efficacy and effect. It is estimated that as much as 81% percent of women undergoing this form of therapy are considered as  healed and 16% showed a significant improvement in quality of life.

The TVT method is a modern method involving the placement of a synthetic material mesh through the vagina. The mesh is implanted in the middle urethra. The effectiveness of this method is estimated at 95% and postoperative complications are rare.

The TOT method – this method consists in introducing a tape of synthetic material also in the middle section of the urethra but from a different angle. The effectiveness of the procedure is comparable with the TVT method.

 

Plastic surgery of the anterior vaginal wall:

The second method in the treatment of stress urinary incontinence is plastic procedure (hanging) of the anterior vaginal wall. This treatment is highly successful. The type of treatment depends on the individual case and is determined with the patient during the consultation visit. Procedures can be performed under general anesthesia, but also under spinal anesthesia. The physician and the patient decide on the type of anesthesia used and the method. The best time to perform the procedure is the time immediately after the menstruation, so that the recovery period does not coincide with the onset of the next menstruation.

For a period of 2-3 weeks after the procedure, do not: lift objects heavier than 2-3 kg, sit or stand in one position for more than 30 min. from intercourse, for 6 weeks you should avoid bathing in the bathtub and the pool.

  • Improper test results
  • Menstrual period
  • Unregulated diabetes
  • Unregulated blood pressure

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