Surgical treatment of urinary incontinence
Stress urinary incontinence is an involuntary discharge of urine from the bladder when intravesical pressure increases. This type of urinary incontinence is common in middle-aged and elderly women. Sometimes this disease also occurs in men after various surgical interventions on the prostate and bladder, as well as in neurological diseases accompanied by impaired bladder and sphincter innervation.
Urinary incontinence occurs when intravesical pressure exceeds intraurethral pressure. The problem often manifests itself when coughing, sneezing, laughing, walking fast, or lifting weights. This results in an increase in intra-abdominal pressure and, accordingly, intravesical pressure. This disease is also called stress incontinence.
This disease is not only a hygienic problem, but also a social one. Urinary incontinence maladjusts women. At a sexually active age, women cannot find a sexual partner because they are ashamed of their urinary problems. According to statistics, about 25% of women over the age of 45 suffer from incontinence to some extent, but only 3% of them seek medical help. The frequency of urinary incontinence increases with age.
Diagnostic methods include examination of the patient on a gynecological chair, cough test and pad test. Additional methods include urethrocystography, ultrasound, urodynamic examination, and MRI.
The disease is distinguished by the severity of the disease:
- mild degree – loss of urine during coughing, sneezing, heavy physical exertion;
- moderate degree – urinary incontinence when walking, running, standing up suddenly;
- severe incontinence – incontinence at rest, without tension.
Stress urinary incontinence – lhiccups
Treatment can be both conservative and surgical. Patients with mild incontinence are subject to conservative treatment. In this case, treatment is carried out in two main areas – increasing the tone of the bladder closure apparatus and inhibiting the activity of the detrusor. Conservative methods include drug treatment with adrenomimetics and estrogens, as well as gymnastics to strengthen the perineal muscles.
To date, the most effective method of treating moderate to severe stress urinary incontinence is surgery. Currently, minimally invasive techniques are used, based on the passage of a synthetic tape made of biologically inert material over the urethra.
The tape is placed in the form of a hammock, suspending the urethra and enhancing the closing function of the sphincter. These operations can be performed under local and epidural anesthesia. This allows for contact with the patient during the operation, so that the degree of tension can be adjusted. In case of severe disease, when sling operations do not give the desired effect, it is possible to install an artificial bladder sphincter.
Прайс з урології
Ознайомитись з вартістю послуг з урології можна тут.
Прайс має ознайомчий характер і не може бути використаний для підтвердження розрахунку.