Urinary Incontinence Surgery - Medical Negligence Lawyers Claims Australia

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Urinary Incontinence Surgery

Urinary incontinence is usually a problem of women. The most common type of incontinence is stress incontinence in which the woman has incontinence with straining, coughing and sneezing. In such cases, the bladder neck and the urethra drop due to gravity, pregnancy and obesity.

Urinary incontinence surgery to correct this problem involves raising the bladder neck, lifting up the urethra. The bladder is allowed to be in the normal position following the surgery. Surgery is the best cure for stress incontinence and is better than exercises or any medication.

There is also a type of incontinence called urge incontinence that is treated less often with surgery.

There are several options for stress continence surgery. These surgical choices include the following types of surgery:

  • Tension-free vaginal tape surgery: In this surgery, a type of mesh tape is placed beneath the urethra and acts like a hammock or sling. It keeps the urethra in its normal position. Small incisions are made in the vaginal wall and abdomen. This surgery requires no surgery.
  • Retropubic suspension: The most commonly done procedure in this category is called the Burch culposuspension surgery. In this surgery, the vaginal wall is attached to the Cooper’s ligament next to the pubic bone.
  • Urethral sling: This type of surgery is used to treat stress incontinence and involves the placement of a sling around the urethra to lift the urethra into its typical incision. This helps improve urinary retention.
  • Sacral nerve stimulation: In this procedure, electrical stimulation sends a mild electrical current to the nerves located in the low back or pelvic region that are also involved in urination.
  • Urethral bulking: This involves injecting a bulking material around the female urethra. It can be done to seal holes in the urethra and to build up the thickness of the urethral wall so that urine stays in the bladder more easily.

There are several complications of incontinence surgery. They include the following types of symptoms:

  • Urge incontinence which persists despite surgery. A woman with stress incontinence can develop symptoms of urge incontinence, which is the sudden and uncontrollable need to void. Symptoms can last only through recover or can persist past that point.
  • Inability to urinate or problems voiding. This is most problematic when surgeries involve the raising of the urethra and bladder neck. The symptom usually corrects itself. The problem usually lasts about a week.
  • A wound infection or an infection of the urinary tract. This is a very typical complication following bladder surgery and is easily managed with antibiotics.
  • The development of a fistula. A fistula is an abnormal connection between two body areas. In bladder surgery, the fistula occurs between the bladder and the vagina so that there is a constant leakage of urine from the vagina. A urethral to vaginal fistula is also common. These are very difficult to treat and must be treated surgically.
  • Mesh problems. Some bladder and urinary incontinence procedures are treated with synthetic surgical mesh, which is used to create a sling to lift the bladder and the urethra. When the mesh is inserted through a hole between the vagina and the bladder neck, it sometimes erodes through the vagina so that there is secondary pain, infection and ongoing urinary tract difficulty. Patients should let the doctor know if they’ve had a previous reaction to polypropylene and similar chemical objects. The repair can be done just as well without synthetic mesh so you can request that no mesh be used to treat your stress incontinence.
  • Bleeding. There can be bleeding into your pelvis, bleeding through your urethra or bleeding through the incision. In some cases, you might need to have a repeat surgery.

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