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Urology (Expert Forum)
What is the best bladder suspension surgery?
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
What is the best bladder suspension surgery?
by snoozy, Nov 18, 2004 12:00AM
I am a 44 y/o healthy, menopausal female with stress incontinence that recently began to include leakage during sex.
I have been referred to a Urologist for bladder suspension surgery. Which surgery will be best for me? How is it perfomed? What is the recouperation time period (I have a desk job)? What are the risks and complications? Will the surgery be a permanent solution to the problem?
Any suggestions for pre or post surgery?
Thank you.
I have been referred to a Urologist for bladder suspension surgery. Which surgery will be best for me? How is it perfomed? What is the recouperation time period (I have a desk job)? What are the risks and complications? Will the surgery be a permanent solution to the problem?
Any suggestions for pre or post surgery?
Thank you.
Doctor's Answer
by Kevin Pho, MD, Nov 21, 2004 12:00AM
, Nov 21, 2004 12:00AM
Tough to say which surgery is the best for you without knowing your case. The question of bladder suspensions has been answered previously by my predecessor and I will reprint it here:
"There have been many types of bladder suspensions used throughout the years depending on the type of incontinence. Bladder suspensions are used to treat stress incontinence, which refers to leaking urine while coughing/sneezing, or exercise. Often a component of urge incontinence accompanies the stress incontinence. Urge incontinence presents with difficulty holding urine with frequent urination The procedure of a bladder suspension has post operative complications including pain(0-20%), urinary retention(40-50%) requiring prolonged catheterization, continued incontinence, depending on the procedure and the surgeon. The newest technique to treat urinary stress incontinence is the pubovaginal sling. It also has post operative complications including pain, retention, and continued incontinence. But the failure rate is turning out to be significantly less then previously used bladder suspensions."
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
"There have been many types of bladder suspensions used throughout the years depending on the type of incontinence. Bladder suspensions are used to treat stress incontinence, which refers to leaking urine while coughing/sneezing, or exercise. Often a component of urge incontinence accompanies the stress incontinence. Urge incontinence presents with difficulty holding urine with frequent urination The procedure of a bladder suspension has post operative complications including pain(0-20%), urinary retention(40-50%) requiring prolonged catheterization, continued incontinence, depending on the procedure and the surgeon. The newest technique to treat urinary stress incontinence is the pubovaginal sling. It also has post operative complications including pain, retention, and continued incontinence. But the failure rate is turning out to be significantly less then previously used bladder suspensions."
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
Member Comments
by lmroswell, Nov 29, 2004 12:00AM
To: Incontinence
0
by Suzette60, Jan 27, 2005 12:00AM
To: Incontinence
0
by shelley57, Jun 15, 2008 06:07PM
A related discussion, bladder suspension surgery was started.
by Bunky101, Sep 12, 2008 11:42AM
A related discussion, sling was started.
