A small incision during a simple outpatient procedure can mark your return to pelvic health, according to McLeod Gynecologist Brad Campbell, MD.
Here’s a summary of Dr. Campbell’s comments:
With stress incontinence, where a woman is leaking when she coughs or sneezes, the first line of treatment is pelvic floor exercises (Kegels) or physical therapy. These treatments can really help overcome stress incontinence.
Over the years, there’ve been many different types of operations to fix stress incontinence, because the problem is so common.
Years ago, a woman had to have a large incision on her stomach. This procedure was technically difficult for the surgeon and recovery for the patient required a several-day hospital stay and lengthy recovery.
Now, this procedure has progressed and is much better for the patient. The most effective treatment is the most minimally invasive treatment – the mid-urethral sling.
Basically, there is a natural bend in the lower part of the bladder that prevents leakage. The surgery restores the angle so that whenever you cough or sneeze it prevents leakage of urine. It’s been effective in more than 85% of the women who had this procedure.
It’s an outpatient procedure, and you go home the same day. However, a few women may require or want an overnight stay in the hospital.
After a few days and some pain medication, a woman should be back to normal.
We do this through the front part of the vagina with an incision that’s about 1 inch. There are no incisions or scars on your stomach. While this is a safe and easy procedure, it’s not without complications – as is any surgical procedure. But, it’s safer than procedures that have been done in the past.
Use of the mid-urethral sling is one of the hallmarks of how we treat stress incontinence.
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