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Female Urinary Incontinence ( Urine Leakage in Women )
Female Urinary Incontinence ( Urine Leakage in Women )
What is it ?
Urinary incontinence means leakage of urine that happens without your control. Many women experience this, especially after childbirth, menopause or with aging.
Types of Female Incontinence :
Stress Urinary Incontinence : Leakage occurs when you cough, sneeze, laugh or lift something heavy.
Urge Urinary Incontinence : A sudden strong need to urinate that you can't hold.
Solutions :
Pelvic Floor Exercises ( Kegels ) - Strengthens bladder control
Bladder Training - Helps control urgency
Medications - Reduce urgency and leaks
Mid Urethral Sling Surgery - A small synthetic tape is placed under the urethra for support
Autologous Pubovaginal Sling Surgery - A small fascia from your abdomen or thigh is taken and placed under the urethra for support
BOTOX injections in the Bladder - Helps with urge incontinence
Bulking Agents - A gel is injected to support the urethral opening
Autologous Pubovaginal Sling Surgery : A Mesh - Free Solution for Stress Urinary Incontinence
What is a Pubovaginal Sling (PVS)?
A Pubovaginal Sling (PVS) is a non-mesh surgical treatment for female stress urinary incontinence (SUI). This procedure uses the patient’s own rectus fascia (abdominal wall tissue) or, occasionally, fascia lata (from the leg) to create a supportive sling for the urethra and bladder neck. PVS is a durable solution, with long-term success rates of 80-90% over ten years, and eliminates the risks associated with synthetic mesh implants.
Indications for PVS Surgery:
PVS is recommended for women with SUI, especially those who:
Prefer a non-mesh option.
Need primary or repeat treatment for SUI.
Have poor vaginal tissue quality due to prior surgery or radiotherapy.
Are at higher infection risk (e.g., diabetics, immunocompromised patients).
Have intrinsic sphincter deficiency or severe SUI.
Require additional urethral support in vaginal reconstruction surgery.
The Procedure:
Performed under general anesthesia, lasting 1.5 to 2 hours.
A 6-8 cm lower abdominal incision is made to harvest a strip of rectus fascia.
A 2 cm vaginal incision allows passage of the sling, which is secured in a U-shape to support the urethra.
A cystoscopy is performed to check for any bladder injury.
Incisions are closed with absorbable sutures, and a catheter is placed for two days.
Postoperative Care:
Hospital stay: Typically 2 days.
Vaginal discharge and mild abdominal discomfort may occur.
Light activities can resume early, but avoid heavy lifting.
No sexual intercourse for 6 weeks.
Return to work in 3-6 weeks, depending on job demands.
Attend post-op follow-ups to monitor healing and address concerns.
Potential Risks:
General surgical risks: Infection, bleeding, blood clots, and anesthetic complications.
Temporary difficulty in emptying the bladder.
Rare but possible wound complications requiring additional treatment.
Conclusion:
Pubovaginal Sling (PVS) surgery is an effective, long-lasting, and mesh-free option for treating SUI. While it involves a recovery period, it offers significant benefits in terms of safety, durability, and long-term patient satisfaction. Consult your doctor to determine if PVS is the right choice for you.
Kegels Exercise - How to do it
Male Urinary Incontinence (Urine Leakage in Men )
Male Urinary Incontinence (Urine Leakage in Men )
What is it ?
Urinary incontinence in men can occur due to prostate surgery, nerve damage or aging. It can be embarrassing, but treatments are available.
Types of Male Incontinence :
Stress Urinary Incontinence : Leakage when coughing, sneezing, or lifting (common after prostate surgery ).
Urge Urinary Incontinence : A sudden strong urge to urinate that is hard to control.
Solutions :
Pelvic Floor Exercises ( Kegels ) - Strengthens urinary sphincter
Medications - helps with bladder control
Artificial Urinary Sphincter (AUS) - A small device is implanted into body that helps control urination
Male Sling Surgery - Supports the urethra to prevent leakage
My Expertise in Incontinence Surgeries
My Expertise in Incontinence Surgeries
" With specialized fellowship training in Functional & Female Urology from CES University, Colombia, I have extensive experience in treating both female and male urinary incontinence. I have successfully performed complex incontinence surgeries, including sling procedures, autologous fascial sling surgeries, artificial urinary sphincter implantation, and Botox injections for overactive bladder, with excellent patient outcomes. My focus is on providing advanced, personalized treatments to help patients regain bladder control and improve their quality of life."
Need Help? Book an Appointment Today!
Need Help? Book an Appointment Today!
If you have any urinary incontinence issues, don't hesitate to seek help. Early treatment can improve your quality of life and prevent complications.
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