In Poland, incontinence affects around 4 million people (at least 30% women aged 30+). A significant percentage of patients do not seek medical attention, and advertisement in the media does not focus on the diagnostics and treatment of the disorder, but on dealing with the problem by means of pills. You may be in the group looking for a solution to this embarrassing, inconvenient problem. At Mandala Beauty Clinic we successfully treat these conditions, with surgery.
Stress incontinence occurs even during slight exertion, such as coughing or laughing. Its cause is most commonly pelvic floor damage, perinatal injuries, ageing, obesity, constipation, chronic cough, physical work, congenital connective tissue defects or female sex hormone deficiency. The problem is therefore widespread and affects women who lead different lifestyles.
How it’s done
The vagina is a natural ‘hammock,’ which contains the urethra. With the decrease of tension and strength of muscles surrounding the vagina, stabilization and control of the urethra weakens. It may result in problems with stress incontinence.
The aim of the treatment is to restore the vaginal ‘hammock’ by introducing a synthetic mesh tape midway along the urethra. It is performed under local anaesthesia in a gynaecological position. After proper patient positioning, the vaginal mucosa is incised, and the tissue separated in the place where the tape will run. It is pulled out through the so-called obturator foramen (openings in the pelvic bone) and through the skin to the outside through small incisions in the groin. Often, after the surgery, a compression pad is applied for a few hours to prevent post-operative hematomas. It is necessary to evaluate potential postoperative residual urine in the bladder. This is needed to determine the appropriate stretching of the tape.
Preparation for the surgery is a very thorough analysis of indications, a gynaecological examination with the assessment of the pelvic floor, ultrasound and the so-called cough test that helps determine the effectiveness of the procedure. A urine test is required as well as preparation of tissue (disinfectants and reconstructive means for vaginal mucosa) at least 2 weeks prior to the surgery.
Recovery:
- 1 day after surgery the catheter is removed from the bladder
- return to normal functioning after a one-day observation
- return to sexual activity after 2-3 weeks
- regular consumption of 2-3 litres of fluid a day and cranberry supplements (disinfection of the bladder)
Time of surgery:
30 min
Anesthesia:
general or SUBSIDERARY
Convalescence:
7 days
Ask the specialist for details! Schedule an appointment with our gynaecologist.
+48 61 833 08 81