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Surgical - Female Gynaecologic - Stress Urinary Incontinence Surgery with Sling Procedure - Stress Urinary Incontinence Surgery with Sling Procedure
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Stress Urinary Incontinence is a urinary incontinence causes women to leak urine when coughing, laughing, sneezeing or during certain activities, such as walking, running, or exercising. Stress incontinence is usually the result of the weakening of or damage to the muscles used to prevent urination, such as the pelvic floor muscles and the urethral sphincter. 

Certain things can increase the chances of urinary incontinence developing, including:

  • pregnancy and vaginal birth

  • obesity

  • a family history of incontinence

  • increasing age – although incontinence is not an inevitable part of ageing

Changing life-style, such as consuming less fluid, less caffeine, stopping smoking and losing weight can help the frequency of the urine leak. Other nonsurgical options include pelvic muscle exercises, physical therapy and bladder training or use of a vaginal pessary ring. 

The conservative treatment methods might not be enough for some women, and symptoms of stress incontinence or overreactive bladder don't response to those approaches. In that case, the surgery might be an option.

What is the Sling Procedure?

Sling procedure involves making an incision in your lower abdomen and vagina to place a sling around the neck of the bladder to support it and prevent accidental urine leaks.

There are two types of urethral slings that are used to treat stress urinary incontinence:

1. Midurethral sling: The midurethral sling is the most common type of surgery used to correct the stress urinary incontinence. The sling is a narrow strap made of synthetic mesh that is placed under the urethra. It acts as a hammock to lift or support the urethra and the neck of the bladder.

2. Traditional sling: In this type of surgery, the sling is a strip of your own tissue taken from the lower abdomen or thigh. The ends of the sling are stitched in place through an incision in the abdomen.

With the use of traditional slings, patients can avoid risks associated with the syntetic mesh. However traditional sling surgery requires a longer recovery time and patients will need to stay in the hospital for a time period of few days. This surgery has risks of urinery problems such as urgency or difficulty during urinating. In such cases the sling may need to be adjusted.

The aim of this article is to give you a general information about the surgical intervention in question. You need to make more research about possible complications and risks of this selected procedure in order to make an informed decision. Please note that complications occur more frequently with patients who are obese, smoke, and have a history or lung or other chronic underlying medical conditions.

Smokers are recognized to have a significantly higher risk of post operative wound healing problems with a subsequently higher potential of infection as well as operative and post operative bleeding. Patients should discontinue smoking for two weeks before and two weeks after surgery. Although it helps to stop smoking before and after surgery, this does not completely eliminate the increased risks resulting from long­ term smoking. Smoking also has a long term adverse effect on the skin and ageing process.

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