تعريف
Urethral suspension is a surgery to correct stress incontinence in women. The procedure creates support for the tube that carries urine out of the body. The tube is called the urethra.
أسباب هذا الإجراء
The goal of this surgery is to place a sling under the urethra. The sling will close off the urethra during stressors like laughing or sneezing. This will stop the uncontrolled leaking of urine.
المضاعفات المحتملة
Complications are rare, but no procedure is completely free of risk. If you are planning to have a urethral suspension, your سيقوم الطبيب بمراجعة القائمة من المضاعفات المحتملة، والتي قد تشمل:
- نزيف
- العدوى
- Reactions to anesthesia
- Inability to urinate
- Continued incontinence or recurrence of the problem
- Damage to other nearby organs or blood vessels
- Pain (such as, during sexual intercourse)
Sometimes a surgical mesh is used in this procedure. This mesh has been linked to some problems during recovery. Talk to your doctor about medical devices used during surgery.
تشمل العوامل التي قد تزيد من خطر حدوث مضاعفات ما يلي:
- التدخين
- Any factors that affect your overall health
Talk to your doctor about any factors that may increase your risk.
ما يمكن توقعه
قبل الإجراء
Your doctor will try to find out why you are leaking urine through some or all of the following:
- Medical history—information about medicines, illnesses, number of pregnancies, and previous surgeries; pattern of leaking and how it is affecting your life
- Urine sample—to look for the presence of infection or other problems
- Physical exam—includes a rectal and vaginal exam
- Additional testing may be ordered to evaluate bladder function and urine flow, such as:
- Urodynamic testing (urine flow studies)—a temporary catheter is placed to study bladder function
- Cystoscopy—a procedure done to view the inside of the bladder
Steps to take leading up to surgery:
- التحدث مع طبيبك عن الأدوية الخاصة بك. قد يطلب منك التوقف عن تناول بعض الأدوية تصل إلى أسبوع واحد قبل العملية مثل:
- الأسبرين أو غيره من العقاقير المضادة للالتهابات
- مخففات الدم ، مثل الوارفارين (الكومادين)
- كلوبيدوجريل (بلافيكس)
- Arrange for a ride home from the hospital.
- Do not eat or drink anything after midnight the night before.
التخدير
You may receive a spinal anesthetic to numb your lower body. General anesthesiamay also be used, in which case you will be asleep.
الوصف الداخلي
One or two small incisions will be made in the abdominal wall and vagina. A sling will be placed under the urethra and stitched into place. The sling can be made out of a synthetic material or tissue from your own body.
مباشرة بعد الإجراء
After surgery, you will be monitored in a recovery room. You will most likely have a catheter in place to drain your urine.
كم من الوقت سيستغرق ؟
1-1.5 hours
كم هو مؤلم ؟
Anesthesia will block pain during the surgery. After surgery, you may experience some pain or soreness. You will be given pain medicine to relieve the discomfort.
متوسط الإقامة في المستشفى
You may be sent home the same day.
الرعاية ما بعد الجراحة
في المستشفى
At first, your urine may look bloody. This will resolve over time.
When you are able to empty your bladder completely, the catheter will be removed. You may be asked to get up and walk around.
في البيت
Certain steps will allow healing to take place. General steps include:
- يتجنب lifting and strenuous exercise for six weeks after surgery.
- اسأل طبيبك حول, عندما هي آمنة للاستحمام, السباحة, أو نقع في الماء.
- Ask your doctor when it will be safe to have الجنس or use tampons.
To help ensure a smooth recovery, follow your doctor’s instructions.
استدعاء الطبيب
بعد مغادرة المستشفى، اتصل بطبيبك في حالة حدوث أي مما يلي:
- علامات الإصابة, بما في ذلك حمى وقشعريرة
- احمرار أو تورم أو ألم متزايد أو نزيف شديد أو أي إفرازات من موقع الشق
- ألم لا يمكنك السيطرة عليه بالأدوية التي أعطيت لك
- السعال، ضيق التنفس، أو ألم في الصدر
- الغثيان أو القيء الشديد
- Trouble urinating
- Pain, burning, urgency, or frequency of urination
في حالة الطوارئ ، اتصل على المساعدة الطبية على الفور.