تعريف
Stress incontinence is one of the many causes of uncontrolled leaking of urine. Urethral suspension is a surgery to correct incontinence in women.
The incontinence is most often caused by weakening of the pelvic muscles that normally keep the bladder in position. The muscles may be weakened by:
- حمل
- الولادة
- سن اليأس
- Previous pelvic surgery
- نقص في النشاط الجسدي
أسباب هذا الإجراء
The goal of this surgery is to provide extra support to the urethra and give more resistance against leakage. 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 doctor will review a list of possible complications which may include:
- نزيف
- العدوى
- Reactions to anesthesia
- Inability to urinate
- Continued incontinence or recurrence of the problem
- Damage to other nearby organs or blood vessels
- Erosion of the mesh material used during the procedure
- Pain (such as, during sexual intercourse)
تشمل العوامل التي قد تزيد من خطر حدوث مضاعفات ما يلي:
- التدخين
- صحتك العامة
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
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
Two incisions will be made in the vagina. A nylon mesh-like tape will be inserted in these incisions to form a hammock. This will give support to the urethra, closing the urethra during a cough or sneeze. No sutures will be needed to hold the tape in place. The mesh will hold onto the surrounding tissue until scar tissue grows into it.
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 discomfort.
متوسط الإقامة في المستشفى
You may be able to go 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 up and walking the same day as the surgery.
في البيت
Avoid lifting and strenuous exercise for six weeks after surgery. This will allow healing to take place. Ask your doctor about when it is safe to shower, bathe, or soak in water.
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
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision sites
- 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 while urinating
في حالة الطوارئ ، اتصل على المساعدة الطبية على الفور.