Surgical Treatments for Stress Incontinence
PLEASE READ! “The past treatments for SUI, MMK & Burch procedures, have many patients needlessly negative about pursuing treatment. If your mother, or grandmother underwent one of the procedures mentioned below, their experience was more than likely a negative one. Great strides have been made in the treatment of SUI and patient satisfaction and results have been great.” J. Kyle Mathews, MD, Plano OB Gyn Associates / Plano Urogynecology Associates
Surgical Treatment for Stress Incontinence has improved dramatically. Treatment is done as an outpatient procedure and patients may return to work as soon as three day.
Several techniques are available but most all consist of a Tension Free Mid Urethral Sling or Tape that supports the urethra and maintains continence. This minimally invasive procedure is done through a small incision in the vagina and usually takes less than 20 minutes to perform. Patients are observed for a short time and then allowed to go home after passing a voiding trial. Recovery is rapid with minimal pain and continence is restored immediately. Success rates are excellent approaching 90%.
Surgical Treatment for Stress Incontinence
Burch retropubic urethropexy or MMK marshall-Marchetti-Krantz Procedure done through an abdominal incision or through a laparoscope to resupport the bladder base by placing sutures in the vagina to attach it to a ligament on the pubic bone
Suburethral sling, Transobturator (TOT) or Transvaginal (TVT) Placing a “strap” of material under the urethra to support it and prevent stress incontinence. The sling material can be synthetic or natural. The natural material can be taken from your own body or from cadavers.
Periurethral injections Injection of material next to the opening of the bladder in an effort to prevent stress incontinence. This procedure is performed in the office.
Tension-free vaginal tape – type- sling A special type of suburethral sling that requires a less invasive procedure, which allows it to be performed on an outpatient basis.
Suprapubic catheter A catheter placedinto the bladder through the abdomen – it is used to drain the bladder after surgery