Surgical treatment for urinary incontinence: types of operations
Almost every woman is familiar with the problem of incontinence, directly or through the complaints of others. Operations for incontinence of urine — a reliable way to improve the quality of life and to get rid of the discomfort. Techniques such operations are developed and improved for many years. But is it always appropriate surgical treatment of urinary incontinence? What types of treatment exist and what is their effectiveness?
Traditionally, surgical intervention is resorted to in cases when other therapies not help. The approach is applied in case of treatment of urinary incontinence. In the view of many women to correct their problems are «antiquated» methods and incontinence after surgery can only increase. But in that case, if the acute problem arose due to poor working muscle before you go to the table of the surgeon, you must contact your kegels. The famous in a short time increases the tone of weakened muscles, including the bladder. For «lazy» with the same purpose, there are pacemakers that operate for the benefit of health, while the body is resting. When hormonal failure, which resulted in urinary incontinence, shown medication. Up to 30 percent of patients recover without surgery, but what awaits the rest?
The performance of the surgical treatment of urinary incontinence
Modern practical medicine has made a huge breakthrough in the treatment of problems of every three women on the planet — surgery women are at a minimally invasive methods do not require lengthy recovery and highly effective and in the long term. However, the importance is the qualification of the surgeon and the correct choice of treatment.
Types of operations
Invasive techniques there are up to 300 different types. Only a qualified and comprehensive assessment of all factors will correctly determine further treatment. The choice will affect:
- the nature and cause of the disease;
- age, migrated and chronic illness;
- the possibility of using General anesthesia and laparoscopic access.
- other features of the body.
The use of slings
All ingenious is simple, as in this operation. Under the bladder is implanted synthetic mesh in the form of a loop, which supports the urethra and prevents incontinence. The material of such a mesh is not rejected by the body, eventually the living tissue surround it and create a solid bed for bodies. The intervention does not require General anesthesia and lasts 30 minutes. The incisions are delicate and can spoil the appearance of the body.
The advantages include the short rehabilitation period — an extract from medical institution occurs, as a rule, on the same day and return to normal life in about a month. More than 90 percent of women who underwent surgery, by his example, confirmed that 30 minutes on the operating table will allow to forget about the unpleasant problem for a lifetime.
If the use of slings is an innovative method, the front colporate rather a relic of the past. Such intervention will be the embodiment of nightmares, transmitted by women from generation to generation. It is necessarily performed under General anesthesia, thus there is a tightening of the muscles surrounding the vagina and genitourinary organs. To recover from such a traumatic intervention will need considerable time.
The consequence will be scarring tissue, which further complicates the correction of the results of operations. A correction is needed, since the effect lasts for 3 years only 25 percent of women who had surgery, still happy with the feel. Justified such interference will be the case if the method of lingomania cannot be applied (planned pregnancy) or ineffective.
Another innovative approach to addressing incontinence. The impact on the problem bodies is made from a stimulator which send signals to the spinal cord in the area of the sacral spine. The disadvantages include the fact that the device creates on the body with a bulge in the gluteal muscles and will cause some restrictions associated with the constant wearing of the device.
Kelly’s Method, Marshall-Marchetti-Krantz
All of these approaches lie in the operational intervention in order to seal the muscles surrounding the ureter. While Dr. Kelly was first thought to dissect the tissue surrounding the urethra. The team of doctors Marshall, Marchetti and Krantz managed to improve the performance efficiency of the operation, securing usively tissue in the pubic area. This manipulation is a serious side effect: the scarring of the tissues involved in the operation, it is impossible to predict and can cause problems with the functioning of the organs.
The maintenance of the genitourinary system is achieved by «hanging» them to the ligaments of the groin. The efficiency of this operation is quite high, but it can be done only under General anesthesia and the result will largely depend on the skill of the surgeon. Because of its disadvantages such interference is considerably inferior to the more modern method of lingomania.
In that case, if surgery is contraindicated, to eliminate the defects of the urethra proceed with the introduction of special gels. These gels create in the right places additional volume, for example, constrict the lumen of the urethra. They are introduced directly through the urethra. The idea is good, but not improved. Effect of gels on the body aren’t fully understood, but the effect in the bladder is short-lived.
The restoration of the proper functioning of the bladder is a necessary condition for a fulfilling life. Without the help of professionals a lot of the patients become permanent usage of personal care products and the associated discomfort. Well-chosen conservative treatment, and if necessary operational, will help to keep the disease in the past.