URINARY INCONTINENCE

Millions of women suffer from involuntary leakage of urine, which is called incontinence. In some women, it manifests itself in the form of a few drops of urine during a cough or laugh. In others, the problem is more pronounced and manifests itself in the form of an irresistible desire to go to the toilet, followed immediately by the involuntary discharge of a large volume of urine.

Classification.

 

Currently, urinary incontinence is divided into three forms that have different causes, clinical manifestations and, accordingly, methods of treatment:

  • urgent (associated with a call)
  • stress urinary incontinence (with tension, for example, when coughing)
  • mixed

At present, the so-called loop or sling operations (TVT, TVT-O) are widely practiced in our clinic. Currently, the operation of suburethral urethropexy, TVT (TVT-O), or the Free Synthetic Loop, is the "Gold Standard" for the treatment of urinary incontinence with stress and requires minimal surgical intervention. Postoperative pain is practically absent, and the patient can return home the day after the operation. The result is achieved by supporting the middle part of the urethra in the correct position. The operation is usually performed under local or spinal anesthesia. If necessary, general anesthesia can be used. The free synthetic loop is a unique innovation and is a polypropylene mesh covered with plastic covers, with needles at the ends. The use of original installation kits and materials produced by the world's leading manufacturers ensures guaranteed quality and is one of the main ways of preventing complications.

 

Using needles, TVT is inserted into the woman's body through a small incision on the front wall of the vagina and placed under the middle part of the urethra, providing its reliable support, replacing the "weakened" ligaments, and thereby eliminating the cause of urinary incontinence. Both needles are withdrawn through the obturator hole and then removed. The operation lasts 30-40 minutes. The patient can be discharged home the next day.

 

Often, there is a situation where, in addition to installing the loop, it is necessary to perform plastic surgery of the anterior and posterior walls of the vagina (vaginoplasty)

Indications

  • presence of symptoms and manifestations of stress urinary incontinence.

Preparation

Patients need to undergo a full medical examination and consultation of specialists in our clinic.

After

In the postoperative period, the patient is advised to refrain from taking a sedentary position for 3 weeks.