URINARY INCONTINENCE SURGERIES
Urinary Incontinence Surgeries are a common health problem that significantly affects the lives of women and sometimes men. Factors such as physical activity, aging, childbirth and some medical conditions can trigger urinary incontinence. Surgical intervention can sometimes be inevitable to cope with such problems. In this context, urinary incontinence surgeries play an important role in improving the quality of life of patients and ensuring that they can continue their daily activities.
The focus will be on the methods commonly used in the surgical treatment of urinary incontinence. Techniques such as sling placement surgeries, TOT and TVT, and other options such as mini sling and Burch surgery will be examined and the advantages and disadvantages of each will be discussed. This information can be useful for healthcare professionals and patients with urinary incontinence.
Sling Placement Surgeries: Urinary Incontinence Surgeries | Sling placement surgeries hold an important place among the surgical methods commonly used to solve urinary incontinence in women. These surgeries have been developed to provide effective and reliable results in the treatment of urinary incontinence.
TOT and TVT Methods: Urinary Incontinence Surgeries | Transobturator Tape (TOT) and Tension-free Vaginal Tape (TVT) are frequently preferred surgical techniques for the treatment of urinary incontinence. These methods can be applied depending on the causes of urinary incontinence and the patient’s condition.
Mini Sling and Burch Surgery: Urinary Incontinence Surgeries | While the mini sling method can speed up the recovery process of patients by offering a less invasive approach, Burch surgery is a more traditional approach that can be performed with open, laparoscopic or robotic surgery and is another option used to correct urinary incontinence.
Transobturator Tape (TOT) and Transvaginal Tape (TVT) Surgery
Urinary Incontinence Surgeries | Transobturator Tape (TOT) and TVT surgery is a surgical procedure used to solve the problem of urinary incontinence. This method is effectively applied in the treatment of urinary incontinence and can improve the quality of life of patients.
A suspension system is used in these surgeries to provide support for the pelvic organs. This suspension supports the weak pelvic floor muscles caused by urinary incontinence and provides control of the urinary tract. During the surgery, a surgical mesh is placed under the urinary tube. The mesh is passed through a small incision made under the mucosa under the urinary tube, away from the muscles and nerves, and placed through both obturator channels. This mesh strengthens the weakened support tissue under the urinary tube with the fibrotic tissue formed over time and treats the problem of urinary incontinence due to anatomical deformation. This procedure is performed using special surgical instruments and techniques.
Urinary Incontinence Surgeries | It is usually performed under spinal or general anesthesia. The surgeon first makes a small incision in the pelvic area and places the mesh in the appropriate position. Then, the skin incision is closed and the healing process begins. After the surgery, the bladder catheter is not removed until the next day. Sometimes, wet gas may be placed in the vagina, which is removed by your doctor the next day.
The healing process of these surgeries is usually faster than other surgical procedures. Patients can usually return to normal daily activities within a few days. However, it is recommended to avoid strenuous physical activities and heavy lifting. The healing process can vary from person to person, and in some patients, full recovery may take several weeks. Again, the patient’s benefit from the procedure and the improvement of their urinary incontinence may be immediate or it may take a longer period of several months.
These surgeries have high success rates in resolving urinary incontinence. However, as with any surgical procedure, they carry certain risks. The most common complications include bleeding, hematoma, pain, infection, foreign body reactions to the mesh, inability to urinate if placed too tightly, and urinary tract problems. Therefore, a detailed evaluation should be made between the patient and the surgeon before the surgery, and possible risks should be discussed clearly.
Urinary Incontinence Surgery | These surgeries are an effective and reliable surgical option to solve urinary incontinence problems. However, a detailed evaluation and expert opinion are important to determine the most appropriate treatment plan for each patient.
Mini Sling Method
Urinary Incontinence Surgery | The mini sling method is a surgical procedure used to treat urinary incontinence. This method offers a less invasive approach and can speed up the recovery process of patients. Here are the details of the mini sling method:
Technique: The mini sling method uses a specially designed mesh (net) to support the lower part of the urethra. However, unlike standard TVT or TOT surgeries, a smaller mesh (net) is used in the mini sling method. This makes the surgery less invasive and can speed up the recovery process.
Placement Method: In the mini sling method, the mesh (net) is passed under the urethra and fixed in the appropriate position in the pelvic region. The placement process is performed using surgical instruments and techniques. The mini sling is held in an ideal position to support the urinary tract and relieve urinary incontinence.
Surgical Process: Mini sling surgery is usually performed under local anesthesia. The surgeon makes a small incision in the pelvic area and the mesh is passed under the urethra. The mesh is then placed in the appropriate position and secured. The skin incision is closed and the healing process begins.
Recovery Process: The recovery process of mini sling surgery is usually rapid. Patients can usually return to normal daily activities within a few days. However, it is recommended to avoid strenuous physical activities and heavy lifting. The recovery process can vary from person to person, and full recovery in some patients can take several weeks.
Success Rates and Risks: Mini sling surgery is an effective option for solving urinary incontinence. However, as with any surgical procedure, the mini sling method also carries certain risks. The most common complications include infection, foreign body reactions to the mesh, and urinary tract problems. Therefore, a detailed evaluation should be made between the patient and the surgeon before the surgery, and the risks should be discussed clearly.
Urinary Incontinence Surgeries | The mini-sling procedure is an effective and less invasive surgical option for treating urinary incontinence. However, a detailed evaluation and expert opinion are important to determine the most appropriate treatment plan for each patient.
Burch Surgery
Urinary Incontinence Surgeries | Burch surgery is a surgical procedure used to treat urinary incontinence. This method, which is especially effective in urinary incontinence problems that occur when intra-abdominal pressure increases, such as stress-type coughing and sneezing, is performed to support the pelvic floor muscles and correct the location of the urinary tract.
Burch surgery is usually performed to support the pelvic floor and control the urinary tract. In this procedure, sutures passed from both sides of the urinary tract are stitched to the Cooper ligament located in the pelvis, ensuring the normal position of the urinary tract and preventing uncontrolled, excessive movement of the urinary tract, thus correcting the urinary incontinence problem.
Burch surgery can be performed with open surgery, laparoscopy, or robot-assisted laparoscopy. It is usually performed under general anesthesia.
Recovery Process: Urinary Incontinence Surgeries | The recovery process of Burch surgery is similar to other surgical procedures. Patients can usually return to normal daily activities within a few days. However, it is recommended to avoid strenuous physical activities and heavy lifting. The healing process can vary from person to person, and in some patients, full recovery can take several weeks.
Success Rates and Risks: Urinary Incontinence Surgeries | Burch surgery is an effective option for solving urinary incontinence. However, as with any surgical procedure, Burch surgery carries certain risks. The most common complications include infection, narrowing of the urethra or kinking of the tube if it is lifted too high, and continued urinary incontinence. Therefore, a detailed evaluation should be made between the patient and Assoc. Prof. Dr. Esra ÖZBAŞLI before surgery, and the risks should be discussed openly.
