Few women consult gynecology clinics complaining of urinary incontinence (Inability to control urination ),and it’s considered to be strange, especially when it is known that this problem is the most common problem, mainly in those women who underwent vaginal delivery frequently or difficult deliveries or that who is post menopause.
Those women are divided into three groups:
The ways of treatment depend on the type of incontinence:
Natural treatment For Urinary Incontinence:
It’s done by teaching the patient physical exercises that aim to strengthen the pelvic muscles to support the bladder and different studies found that doing those exercises in a right way could help more than 50 % of ladies and their problem ended forever while others had significant improvement.
Medical treatment For Urinary Incontinence.
Surgical treatment For Urinary Incontinence:
In difficult cases, different types of surgeries have been operated over the years and all these surgeries are done under General Anesthesia while some are done by laparotomy. Other surgeries are done vaginally by complex ways that need long recovery time to go back to daily life in addition to that it achieves low successful chance until it is developed to what’s called TVT (tension free vaginal tape) that had brilliant result, and considered the best treatment for urinary incontinence.
Definition of TVT
It’s a special tape used to support the urinary passage and inhibit the leak of urine when the bladder is exposed to any pressure like coughing and laughing.
This tape is inserted in a minor operation under spinal anesthesia because the patient needs to respond to the surgeon when he asks her to cough to make sure that urine will not leak and that the surgery is successful.
This operation is done by doing a small opening in the upper vaginal wall to fix the tape, it takes around 30 minutes, and the patient can go home on the same day or the next day. The patient may feel mild pain for 24 to 48 hours after the operation which respond to simple analgesia, in addition to some difficulty in urination that can be easily overcame. The working lady needs two weeks leave from her work and she should not carry heavy things. She usually goes back to her usual daily physical activity after eight weeks from the date of operation, and she will be needing a follow up in the clinic six weeks after the operation.
Complications of TVT operation:
2- It might affect the organs near the bladder.
3- Urinary tract infection
4- Failing of operation.
Success rate = 92 %
This kind of operation done by Dr.Najeeb Layyous.