Is minimally invasive sling surgery for urinary incontinence permanent?

Written by Chen Feng
Urology
Updated on December 05, 2024
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Minimally invasive sling surgery is generally suitable for patients with stress urinary incontinence. This surgery is usually not permanent, and its specific name is tension-free urethral suspension. It is used to increase the closure pressure of the urethra. Therefore, when the intra-abdominal pressure increases, the increased urethral closure pressure can prevent urine leakage. This surgery is one of the more common surgeries in clinical practice, but over time, various complications related to the surgery tend to increase. Common surgical complications include difficulty urinating, bladder perforation, and corrosion of the vaginal or urethral sling. Over time, the probability of corrosion gradually increases.

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Written by Wang Shuai
Urology
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How is stress urinary incontinence treated?

Stress urinary incontinence primarily occurs when activities like coughing, sneezing, lifting heavy objects, or jumping rope cause a sudden increase in negative pressure, leading to urine leakage from the urethral opening. For the treatment of stress urinary incontinence, it is important to determine the severity of the condition. For mild stress urinary incontinence, improvement can be achieved through exercises that strengthen the urinary sphincter and the pelvic floor muscles. For moderate to severe stress urinary incontinence, surgical intervention is recommended, mainly through mid-urethral sling procedures to manage urination. Patients should also take care to minimize activities that suddenly increase abdominal pressure, such as lifting heavy objects, laughing heartily, or sneezing.

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Written by Du Rui Xia
Obstetrics
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Can I eat mutton for postpartum urinary incontinence?

In cases of postpartum urinary incontinence, it is acceptable for new mothers to consume lamb in moderation. Lamb is highly nutritious, rich in protein, as well as vitamins and minerals. It can enhance the physical immunity of postpartum women and is also helpful in improving postpartum urinary incontinence. When urinary incontinence occurs, it is necessary to first visit a hospital for an examination to assess the severity of the condition and to choose an appropriate treatment method. Generally, mild urinary incontinence can be improved over time with proper care and can return to normal. However, severe urinary incontinence may require surgical treatment. It is important to rest, strengthen nutrition, and ensure adequate sleep.

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Written by Sun Chun
Urology
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Urinary incontinence includes three types: stress incontinence, urge incontinence, and overflow incontinence.

Urinary incontinence, in clinical terms, is divided into the following categories: First, there is urge incontinence, where the main symptom is that as soon as one thinks of urinating, the urine comes out uncontrollably. This is commonly seen in urinary tract infections, among other conditions. Second, there is overflow incontinence, also known as pseudo-incontinence, which is actually due to an obstruction in the lower urinary tract, leading to an overfilled bladder that naturally overflows, causing involuntary urination. Third, there is true incontinence, which occurs because the mechanism controlling the urinary tract is damaged, resulting in leaks as soon as there is a small amount of urine in the bladder. If urinary incontinence occurs, it is recommended to visit a hospital. First, a routine urine test should be conducted; second, a color Doppler ultrasound of the urinary system should be performed, which can be done while holding urine or during routine times; lastly, a urodynamic test should be carried out to examine bladder function and determine the type of urinary incontinence.

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Written by Wang Jian
Urology
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What department should I go to for urinary incontinence?

Urinary incontinence refers to the involuntary leakage of urine from the bladder, uncontrollable. There are many causes of urinary incontinence, categorized into stress incontinence, overflow incontinence, urge incontinence, and functional incontinence. If urinary incontinence occurs, it is advisable to visit a urologist and undergo some related examinations. The most common type among female patients is stress incontinence. For instance, urine might involuntarily leak during coughing, sneezing, or lifting heavy objects. This is associated with weak pelvic floor muscles, impaired function of the bladder sphincter or urethral sphincter, lack of coordination among these muscles, and a deficiency of estrogen. Urge incontinence is mainly seen in urinary tract infections, whereas overflow incontinence can be seen in conditions like prostate enlargement, urethral stricture, or neurogenic bladder.

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Written by Zeng Zhong
Urology
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What are the clinical manifestations of urinary incontinence?

The clinical manifestation of urinary incontinence is primarily the involuntary leakage of urine, where the patient lacks the ability to control urination. Diagnosis mainly involves reviewing the patient's medical history and a physical examination, which in most cases is sufficient to understand the type and cause of the incontinence. A urodynamic test is crucial for a definitive diagnosis. The contents of the urodynamic examination include the assessment of bladder and urethral function. If a patient exhibits the aforementioned symptoms, they should visit the urology department of a hospital for formal evaluation and treatment.