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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Causes of stress urinary incontinence

The onset of stress urinary incontinence primarily refers to the phenomenon where a sudden increase in abdominal pressure during activities such as laughing, sneezing, lifting heavy objects, or jumping rope causes a small amount of urine to leak from the urethra. The main cause of stress urinary incontinence is due to the relaxation of the detrusor muscle, commonly seen in women who have had multiple vaginal deliveries. Treatment for this condition should be based on the severity of the incontinence. For mild incontinence, it can be improved through functional exercises of the detrusor muscle and pelvic floor muscle training. For moderate to severe stress urinary incontinence, surgical treatment is recommended.

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Written by Zou De Bo
Urology
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"What tests should be done for urinary incontinence?"

Urinary incontinence is due to damage to the bladder sphincter or nerve dysfunction, resulting in the loss of voluntary control over urination, causing involuntary leakage of urine. This condition is more common in females than males, especially in women over fifty years of age. Some routine examinations for this condition include: First, urinalysis. Second, measuring residual urine volume, cystourethrography, bladder pressure tests, and then standing cystography. Additionally, tests such as urodynamic studies are helpful.

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Written by Yang Dong
Colorectal Surgery Department
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How to recover from fecal incontinence?

For fecal incontinence, we must first conduct an effective evaluation and complete relevant examinations. For instance, we need to perform anal canal pressure measurements and examine the anal sphincter muscle imaging. Through these examinations, we can determine the extent of fecal incontinence and then adopt corresponding treatment methods. For fecal incontinence, we can initially choose conservative treatments, such as treatment with biofeedback therapy.

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Written by Chen Tian Jing
Colorectal Surgery
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What department should I go to for fecal incontinence?

"Fecal incontinence requires registration at a colorectal surgery department for consultation. The causes of fecal incontinence mainly include neurogenic and local organic lesions of the anus. If it is due to neurogenic reasons, then it is necessary to coordinate with a neurology department to examine whether the local contraction function of the anus has deteriorated, leading to relaxation of the anal sphincter or incontinence during defecation. If there is an organic lesion in the anal sphincter, especially when the tightness of the sphincter increases leading to excessive relaxation of the anal sphincter, this can also cause fecal incontinence. To treat fecal incontinence, one can opt for local surgery to tighten the relaxed anal sphincter, thereby preventing feces from involuntarily leaking out of the anus."

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Written by Chen Tian Jing
Colorectal Surgery
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What department should I go to for fecal incontinence?

If there is fecal incontinence, it is first necessary to determine the cause. If the incontinence is due to general neurological symptoms and neuropathy, then it is necessary to register for a neurology department consultation. If it is due to relaxation of the local anal sphincter, then registration with the proctology department is needed. Generally, for local sphincter relaxation causing fecal incontinence, an anal sphincter tightening procedure can be opted for, to provide local symptom relief. Additionally, it is important to also consider coordinating with traditional Chinese medicine enemas, which can enhance the mucosa within the rectum.