laparoscopic surgery for stress urinary incontinence
Laparoscopic surgery for stress urinary incontinence (SUI) is a minimally invasive surgical technique that aims to treat SUI by placing a sling around the urethra to support it and prevent urine leakage.
During the procedure, the surgeon makes a few small incisions in the lower abdomen and inserts a laparoscope, which is a thin tube with a camera and light at the end, to visualize the pelvic organs. The surgeon then places a sling made of synthetic material around the urethra and attaches it to the pelvic bone to provide support.
Indication for surgery for stress urinary incontinency
Indications for surgery may include:
1. Severe or persistent urinary leakage that interferes with daily activities or causes emotional distress.
2. Failure to achieve satisfactory improvement with conservative treatments.
3. Inability to perform pelvic floor exercises or comply with behavioral therapies.
4. Presence of anatomical abnormalities or pelvic organ prolapse that contribute to urinary incontinence.
5. Desire to avoid long-term use of incontinence products, such as pads or adult diapers.
Performing surgery for stress urinary incontinence (SUI) requires specialized training and expertise in urological and gynecological surgery. The exact surgical technique used may vary depending on the individual's specific anatomy and the surgeon's preferences, but generally, the following steps are involved in a typical sling procedure:
- Anesthesia: The patient is given general or regional anesthesia to ensure they are comfortable and pain-free during the procedure.
- Incisions: The surgeon makes several small incisions in the lower abdomen and/or vaginal area to access the pelvic organs.
- Sling placement: A sling made of synthetic material is placed around the urethra to provide support and prevent urine leakage. The sling may be attached to the pelvic bone or other nearby structures for stability.
- Incision closure: The incisions are closed using stitches or adhesive strips, and a sterile dressing is applied to the surgical site.
- Recovery: The patient is monitored in a recovery area until they are alert and stable enough to be discharged from the hospital. Pain medications and antibiotics may be prescribed to manage postoperative pain and reduce the risk of infection.
Improved quality of life
Reduced need for incontinence products
Improved sexual function
Reduced risk of complications
General risks of surgery
Recurrence of SUI
Complications related to the sling
Postoperative pain or discomfort
Long-term risks
Recovery time
Cost
Potential complications
Long-term effects
Incomplete resolution of symptoms
Urologists are medical doctors who specialize in treating conditions related to the urinary tract, including SUI. They may perform surgical procedures to treat SUI, such as slings and bladder neck suspension.
Gynecologists are medical doctors who specialize in women's health, including reproductive and urinary health. They may also perform surgical procedures to treat SUI, such as sling procedures and colposuspension.
Urogynecologists are medical doctors who specialize in treating pelvic floor disorders, including SUI. They have additional training in both gynecology and urology and may perform a variety of surgical procedures to treat SUI, including vaginal mesh and urethral bulking injections.