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Urinary Incontinence Surgeries for Women

Urinary Incontinence

Urinary incontinence surgery is performed to treat different forms of incontinence, although the most prevalent one is stress urinary incontinence, which occurs during activities such as coughing, sneezing or exercising. The surgical operations reinforce the urethra or the neck of the bladder to prevent the accidental occurrence of urinary incontinence.

Understanding Urinary Incontinence

Urinary incontinence is this disease that occurs in millions of women and especially when they are older. Among them, SI is the most prevalent type, followed by the urge and mixed type of incontinence: stress, urge, and the combination of both. Persons whose symptoms can only be managed outside surgery include changing lifestyle, and may need to do pelvic floor exercises, taking medicines among others may consider the surgery.

What is Urinary Incontinence Surgery?

There are multiple surgical choices for the treatment of female incontinence:

1. Midurethral Sling Procedures: This is the most preferred technique of fixing SUI. One method of supporting the urethra involves using a sling of synthetic mesh. Depending on the method to be applied in the sling, this can be TOT or retropubic tape.
2. Colposuspension -Burch Procedure: This surgical technique involves mobilisation of the bladder, neck and urethra and suturing these to the pelvic ligaments. It manpower and guarantees a permanent cessation of SUI.
3. Bulking Agents: This is done by putting collagen near the walls of the tube-like structure known as the urethra so that it can shut tightly to prevent urine leakage. Because it is almost noninvasive, the treatment may have to be repeated many times.
4. Artificial Urinary Sphincter: This is applied in serious conditions. An elastic band is then rounded the urethra. The cuff screws up the urethra for constriction and unscrews if it has to release the urine.

Advantages of Urinary Incontinence Surgery

The surgeries have many benefits, and they include:

• Long-Term Relief: Surgery intervention provides long term cure for UI especially in ladies with severe conditions.
• Improved Quality of Life: Discontinuation or diminishing of incontinence usually results in enhanced functional capacity, body image, and women’s sexual well-being.
• Minimally Invasive Options: They include many outpatient or minimally invasive surgeries with shorter time to return to normal activities and lower risks of complications.

Recovery and Postoperative Care

The recovery usually includes the following after surgery for urinary incontinence:

• Hospital Stay: Majority of the surgeries here are done on a day and only a few may require a post-operative overnight stay.
• Pain Management: Discomfort is typically brief and can be addressed by regular analgesic drugs without the need to call a doctor.
• Activity Restrictions: For the first few weeks, some activities, such as lifting heavy objects and performing certain kinds of activities, should be avoided.
• Follow-up: This is due to the fact that follow-up is needed for the Treatment to commence and for a thorough check up of the outcomes of the procedures done.

Possible Risks/Complications

These surgeries are generally safe; however, potential risks include:

• Infection: There is also possible contamination of the operative site.
• Mesh Complications: The major advantage of sling procedures is that any mesh used will not likely erode or get infected.
• Urinary Retention: After surgery, some of the women felt they were having a condition that prevented them from passing urine.

Conclusion

Surgical management of Female Urinary Incontinence yields positive outcomes in the management of SUI and other types of the disorder. These surgical approaches can enhance a woman’s quality of life and provide her symptom-free existence for a longer time. If you would like surgery for urinary incontinence, you should see your doctor and discuss with him/her/your, what type of surgery will be most suitable for you.

endometriosis excision surgery, hysteroscopy and polyp removal, fibroid removal laparoscopic myomectomy, transobturator tape procedure recovery, uterine prolapse treatment, urinary incontinence surgery

Dr Usha Kiran Talakere FRCOG

Consultant Gynaecologist

Advanced Laparoscopic (Level 3/4) & Hysteroscopic Surgeon

vNOTES (Scarless Surgeon)