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Bladder suspension surgery

Posted by Ron on August 02, 1999 at 19:36:20
I am two and a half weeks post surgery of a bladder suspension procedure.  The cause of the bladder leakage was never determined and non-invasive procedures were ineffective.  In the last two days I have noticed a return of the leakage.  A couple of days prior to the leakage I noticed a great deal of pressure in the lower pelvic area which made it uncomfortable to stand straight up.  I was told by my doctors nurse that the leakage would even out and it was not unusual to have a re-occurence of leakage after a couple weeks of surgery.  I don't know.  Could the surgery not have taken?  I hate to think I've gone through this procedure and it didn't correct the problem. Also I was not provided with detailed information on the recovery period of a bladder suspension.  I have what feels like a five pound weight in the bottom of my pelvic and standing straight up is uncomfortable.  I was being treated for a bladder infection and was re-tested last week.  I am waiting on the results.
Please provide some insights.
Thank you

Posted by HFHS M.D.-JS on August 11, 1999 at 10:42:40

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.
It is difficult to comment on the complications of your procedure without knowing what type of procedure you had performed.  In general,  pain can persists for  several weeks post operative.  If it persists for more than 6 weeks than further investigation should be sought.  Depending on when your catheter was removed it is not uncommon to have incontinence after the procedure.  It is important to make sure the bladder is still emptying and you are not in overflow incontinence which often manifests as frequent small volume urinary dribbling with palpable bladder and suprapubic discomfort.  The suspension procedure often will not correct an urge component of incontinence.  At some point if the incontinence continues a urinalysis should be sent to rule out infection, urodynamic study may be needed to evaluate the bladder and urethra to determined which component of incontinece is still present along with a post void residual to make sure the bladder is emptying and you are not in overflow incontinence.  Please consult your local physician for further questions.
This information is provided for general medical information purposes only. Please consult  your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available through our department at the Henry Ford Hospital  and its suburban locations (I-800-653-6568).
* Keyword: bladder suspension

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