Urinary incontinence

Surgery for stress urinary incontinence TVT-o

An operation in which a special endoprosthesis (mesh) is implanted under the mucous membrane of the vagina in the projection of the urethra (under the urethra), which forms a physiological bend which locks the urethra in one position, preventing involuntary leakage of urine. The effectiveness of such surgery reaches almost 90%. The effect after such surgery can be evaluated no earlier than 3 months after surgery, when a fibrous tissue (scar) will form around the mesh, which provides additional fixation.

When can this operation not be performed?

When there is a slight lowering of the front wall of the vagina (bladder), if there are concretions (stones) in the kidneys or bladder, this is an absolute contraindication!

Post-operative rehabilitation takes 4-5 weeks, meaning a true return to sexual life and moderate exercise. The main time of rehabilitation is the duration of healing of the wound surface in the vagina.

Urinary incontinence!

An eternal problem in women! Unfortunately, almost 70% of Ukrainian ladies are silent about it, considering this problem to be "shameful". But why? This is the quality and comfort of your life. Moreover, we do not live in the Stone Age.

And this problem is really present in 40% of women (if not more).

What is it?

This is a condition where, at the lowest loads (climbing the stairs, coughing, sneezing, laughing), a urine stream is spontaneously leaked. This condition strictly forbids women to exercise in the gym and lead an active lifestyle.

Why does urinary incontinence happen?

Most often this happens as a result of traumatic or multiple births, heavy and prolonged physical activity, constant sitting work.

How is it so? 

The main reason is the disturbance of the integrity of the muscles and ligaments that hold the urethra (urinary canal) in its proper location. As a result of tearing or rupture, the urethral ligament loses its proper location and becomes hypermobile (very movable), in this case urinary leakage occurs at the slightest of loads, which provokes an increase in intra-abdominal pressure.

Be sure to pay attention when at least one episode of urinary incontinence occurs. And it is realistic to correct this without surgery!

And there are still some cases where such a condition can be triggered not by a change in anatomical structures but by a neurogenic factor (impaired innervation).

Therefore, the required algorithm of action:

• the first episode of incontinence;
• gynecologist's consultation as soon as possible;
• determining the cause;
• correction of this condition.