The treatment of urinary incontinence – sling (loop) operation

Description sling surgery treatment of urinary incontinence

Stress incontinence is one of the many causes of uncontrolled urinary incontinence. Операция по “подвеске” уретры призвана помочь в лечении urinary incontinence in women.

Urinary incontinence is most often caused by weakening of the pelvic floor muscles, that support the bladder. The reasons for the weakening of muscles can be:

• Pregnancy;
• Delivery;
• Menopause;
• Previous pelvic surgery;
• Lack of physical activity.

Causes of sling surgery treatment of urinary incontinence

The goal of surgery is to further support the urethra, that gives more resistance to leakage of urine. This will stop the uncontrolled urination.

Possible complications of sling surgery treatment of urinary incontinence

Complications are rare, but the procedure does not guarantee the absence of risk. If you plan the treatment of urinary incontinence, you need to know about possible complications, which may include:

• Bleeding;
• Infection;
• Reaction to anesthesia;
• Inability to urinate;
• Continued incontinence or recurrence of the problem;
• Damage to other nearby organs or blood vessels;
• Pain (eg, during sexual intercourse).

Factors, that may increase the risk of complications include:

• Smoking;
• Poor health.

Как проводится слинговая операция по “подвеске” уретры?

Preparation for the procedure

The doctor will try to find out, Why is leaking urine, assigning all or some of the tests:

• The study of medical history and drug information, Diseases, number of pregnancies, and previous surgeries;
• Urine, to determine the presence of infection or other problems;
• Осмотр – включает в себя ректальный и вагинальный осмотр;
• To evaluate bladder function may be assigned additional procedures, such as:
  • Urodynamic testing (Study diuresis) – устанавливается временный катетер для изучения функции мочевого пузыря;
  • Цистоскопия – процедура для исследования внутренней части мочевого пузыря.

On the eve of the operation:

• Tell your doctor about taking any medications. A week before surgery, perhaps, you need to stop taking certain drugs:
  • Aspirin or other anti-inflammatory drugs;
  • Blood thinners, such as warfarin;
  • Clopidogrel (Plaviks);
• We need to organize a trip home from the hospital;
• Do not eat or drink the night before surgery.

Anesthesia

Может быть использована спинальная анестезия, to numb the lower body. Иногда применяется общая анестезия, in this case during the operation you will sleep.

Description sling surgery treatment of urinary incontinence

This procedure requires the implementation of one or two small incisions in the abdominal wall and vagina. The incisions are performed just above the pubic bone. Sling (loop) It will be wound up under the urethra. The loop closes the urethra when you sneeze, coughing or exposure to other stressors. This will prevent incontinence. The loop may be made of synthetic material or body tissue of the patient.

Immediately after the loop operation treatment of urinary incontinence

After surgery, you will be directed to the recovery room. To drain urine catheters.

Сколько времени займет слинговая операция по “подвеске” уретры?

1-1,5 hours.

Слинговая операция по “подвеске” уретры – будет ли это больно?

Anesthesia will block pain during surgery. After surgery, you may experience pain or soreness. Doctor will prescribe pain medicine, to reduce discomfort.

Среднее время пребывания в больнице после слинговой операции по “подвеске” уретры

You may be sent home the day of surgery, unless there are complications.

Ведение послеоперационного периода после слинговой операции по “подвеске” уретры

In the hospital

At first the urine may be reddish in color, in connection with the release of blood. It will take place for some time. When you are able to urinate normally, the catheter is removed. You can start walking the day of surgery.

Home Care

Avoid heavy lifting and strenuous exercise for six weeks after surgery. This will speed up recovery. Ask the doctor, when it is safe to shower, bath or expose the surgical site to water.

To ensure proper recovery, follow your doctor's instructions.

Связь с врачом после слинговой операции по “подвеске” уретры

After discharge from the hospital need to see a doctor, if there was any of the following symptoms of:

• Signs of infection, including fever and chills;
• Redness, edema, strong pain, bleeding or discharge from the incision;
• Pain, which does not pass after taking pain medication appointed;
• Cough, shortness of breath or chest pain;
• Severe nausea and vomiting;
• Problems with urination;
• Pain, burning, frequent urination.