Female Incontinence Surgery

Female Incontinence surgery is a last resort to relieve damage and symptoms sustained from stress induced incontinence; more commonly known as overactive bladder. This surgery is intended for women that do not plan on becoming pregnant. Pregnancy can reverse the effects of the surgery,   so it is important to discuss any future pregnancies with a doctor. Before undergoing the producer it would be wise to see alternative methods of treatment.  There are two main types of surgeries that are practiced:  a sling procedure, and the second, known as a bladder neck suspension.
  • Sling procedures use different material from your body or a foreign material to support the urethra. There are types of slings that have a high rate of success and a low rate of complications.
    • Tensions free- slings do not require stitches and are held in play by the body’s tissue.  There are two types of surgeries done with the tension free-slings; the retropubic and transobturator. The retropubic producer involves two incisions inside the vagina near the urethra. The stent is put in place by the doctor with a needle. The transobturator producer is similar to the retropubic producer but offers lower risk of damage to the bladder or the urethra.
    • Conventional slings require larger incisions, stitches to the new tissue in place, and sometimes need monitoring.  The sling is attached to the abdomen wall to apply the right amount of pressure to the bladder.  A catheter may be required after surgery. There is no evidence that conventional slings are better than tension free-slings
  • Bladder neck suspensions require an incision in the abdomen. Through the incision stitches are use to help reinforce the bladder and urethra. The stitches attach the bladder neck to a ligament near the pubic bone or to the cartilage in the bone.
Bladder neck suspensions are more invasive then sling procedures and require at least six weeks healing before you can go back to normal activities. After a sling procedure you can resume normal activate life after two to six weeks of healing.

Both procedures may only help for stress induced incontinence. After receiving either of the procedures you might still feel the effects of urgency incontinence, but this can be managed with prescription medications. Consult your doctor if you are experiencing these symptoms after surgery to discuss treatments.

Less invasive procedures exist as an alternative to surgery, such as injecting bulking material. In this procedure a doctor will take material such as collagen or silicone and injects it surrounding the bladder providing structural support. Surgery could require later attention from your doctor, but not as often as non-surgery treatments. Non-surgery therapies could be needed as often as every six months.

Women suffering from bladder incontinence should discuss the severity with a doctor to determine if surgery is necessary. Discuss all other treatments that have already been tried. Surgery might be the best option for women that have tried alternative treatments but are still experiencing symptoms.

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Valley Urologic Medical Group
39000 Bob Hope Dr. P #303

Rancho Mirage, CA 92270
Phone: (760) 346-1133
Fax: (760) 242-3232