Bladder Tacking and Vaginal Procedure
Patients now have a few choices when it comes to bladder tacking procedures. Some may decide to undergo a surgical procedure or have bladder tacking done by injection. The type of procedure is decided based on the type of leakage being produced. In the past several years, safe procedures of bladder tacking have been created to treat urinary incontinence.
The pubovaginal sling, called the sling procedure. is the safest vaginal control surgery procedure. The current sling used is called tension-free vaginal tape. This sling is not sewn into the pubic bone or abdominal wall, rather the sling is held in place by the body's tissues. The sling tightens in the middle of the urethra as straining occurs. This method of bladder tacking has proven to be very effective for those with urinary incontinence. There is little trouble in voiding urine with this procedure.
The pubovaginal sling procedure has been performed for over one million patients worldwide, with 50,000 operations having been performed in the United States alone. The sling method has a high record of safety and is performed as day surgery, taking about 20 minutes. Anesthesia is administered for the procedure. The risk if prolapse (urgency to urinate) is very minimal with the vaginal procedure, but is possible.
Abdominal Bladder Control Surgery
The abdominal method is given when a patient has to have an abdominal surgery. This method is also safe and effective. Medically, the procedure is named Burch urethropexy, named after the surgeon who originated it.
An incision is made above the pubic bone going into the space where the bladder is located. Two stitches are placed on each side of the urethra and bladder. These stitches are then attached to a ligament behind the pubic bone. This prevents the bladder from opening and dropping down, which causes leakage when straining.
This method is the best option for improving leakage. The pubovaginal sling has a quicker recovery time and fewer risks. However, there is risk of prolapse returning with this procedure as well.
Injections
Injections for those who have good bladder support and whose leakage is caused by weakened muscles around the opening of the bladder. Older women usually suffer from this problem. For that reason, injection procedure is not recommended for women under the age of 60.
Injections for bladder control are quick and easy. They are administered with minor anesthesia and take about five minutes. The actual injection only lasts a few seconds, but the injections tighten the muscles around the opening of the bladder. Up to three injections may be needed before noticeable effects take place.
The injection material is collagen. Women opting for this procedure have to undergo a skin test to determine if there is an allergy to the material injected. Sixty percent of women see a major improvement with the procedure. It is a good choice for those wanting to avoid surgery. However, this procedure may have to be performed again in several months or years, depending on the effect of the injections.
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