When the only option is stress incontinence surgery
In the event other solutions are not enough, some individuals who experience incontinence are required to have one of the different stress incontinence surgery options.
Depending on the severity of the incontinence, different surgeons will choose different options. Either way, prior to having any surgical procedure performed, a candidate should consider other non surgical solutions.
They should know the risks and complications, and they should have exhausted all other options and advice from their doctor or surgeon, prior to choosing to go with the stress incontinence surgery to cure the incontinence.
Surgical procedures to consider (sling options)-
There are different options for individuals who are considering a stress incontinence surgery for their incontinence.
Some of the most common procedures include:
– bladder sling (the most common option, and uses strips of the body tissues, or other types of synthetic materials, in order to create a sling around the bladder, which will in turn help tighten the urethra. Once the sling is placed, it is going to offer support to keep the urethra closed, avoiding any episodes or leaking.
– tension free sling (no stitches are used, and the sling is made from the synthetic materials, rather than using tissue. Scar tissue will form around the mesh that is inserted, to ensure it does not move after the surgical procedure has been completed.);
– adjustable slings (the sling is tested and adjusted while the patient is awake, in order to determine the best placement of the sling, and to ensure it is going to be as effective as possible);
– conventional slings (the sling is inserted via a vaginal incision, and attached to the pelvis region, to provide the necessary tension around the urethra and around the bladder).
Most of the sling stress incontinence surgery options will use a synthetic material to create the sling, because of better success, and a shorter recovery time after the surgical procedure is completed.
Bladder neck suspension surgery –
Here an incision is made at the lower abdomen, and stitches are placed by the surgeon over the bladder neck, in order to secure the tissue that is surrounding this area. This will in turn reinforce the urethra, and is going to strengthen the muscles around the area, which is going to help in eliminating the incontinence that women tend to experience.
Since an abdominal incision is required to perform this form of stress incontinence surgery, there is going to be some down time and recoup after the surgery is performed (typically anywhere from 2 to 6 weeks time).
In many cases, there is going to be scarring around the area, so this is something that has to be considered if this is an option you may be considering when choosing to have stress incontinence surgery.
Bulking agents –
This is where injections of collagen (or other bulking agents) are injected in to the tissue which surrounds the urethra, in order to help in minimizing the amount of leakage, by closing the area.
This procedure is done in a doctor’s office, and does not require a heavy dosage of anesthesia, and therefore there is very little (in some cases no) recoup time, due to the fact that it is a minimally invasive procedure.
There is the downside that the agents will lose their effectiveness over a period of time, and may require that women have another round of injections, in order to close the surrounding area around the urethra, after a period of time has passed.
Depending on the severity of the incontinence, and whether or not there are more than one solution for the patient, doctors will discuss all of the surgical options, in order to determine which form of stress incontinence surgery is best, and most efficient for their patient.
In many cases, surgery is not going to be required, and the surgeon should let their patient know this, prior to going through with any procedure. But, in the cases that are well beyond minimal (where medication or other options are not going to do the job), when surgery is required, patients have to be aware of all the options, in order to choose the right procedure.
By discussing all forms of stress incontinence surgery with their doctor, women are going to find the best solution, and the most effective surgical procedure for their incontinence.