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Urinary incontinence

Pathologie à la limite entre gynécologie et urologie, sa prise en charge nécessite une équipe pluridisciplinaire et hautement spécialisée. Nous vous offrons un plateau technique complet et une approche globale.

Surgery of Stress Urinary Incontinence (SUI)

 

Urinary incontinence is an involuntary leakage of urine that causes discomfort. There are several types of urinary incontinence:

 

  • Stress Urinary Incontinence (SUI): leaks occur when force is exerted (during sports activity, coughing, laughing, sneezing, walking, changing position, etc.).
  • Urge Urinary Incontinence (UUI): the need to urinate is (often) urgent and uncontrollable.
  • Mixed Urinary Incontinence (MUI): a combination of symptoms of stress incontinence and urge incontinence.

 

It can result from:

  • Weak perineal muscles (the perineum is a part of the body in the pelvis where the urinary, genital and digestive tracts meet), which support the bladder and the urethra (the tube that carries urine out of the body).
  • A weak sphincter muscle (responsible for closing the bladder).

 

Women are more susceptible as their urethra is very short, their sphincter is relatively weak and their perineum is fragile because of the holes for the urethra, the vagina and the rectum. Their perineum is strained during pregnancy and especially when giving birth.

 

Finally, the reduction of hormones following menopause leads to dryness of the tissues, making the perineum even more fragile.

If perineal reeducation is not successful or if stress incontinence -is particularly significant-, surgery is currently one of the most effective long-term treatments for SUI.

At the moment, there is no effective medication for treating stress incontinence.

 

 

  • Surgical treatments

 

A small synthetic strip is placed under the urethra. The strip supports the urethra like a sling, preventing leaks when force is exerted.

Note that this intervention cannot be used to treat all types of urinary incontinence. Your doctor will decide if this technique is appropriate after having examined your case and, if necessary, having requested further examinations, such as a urodynamic assessment.

 

 

The operation is carried out with the patient lying in the appropriate position for the gynaecological examination. A small incision (2 cm) is made inside the vagina. The strip is passed through this incision and, using needles, is positioned under the urethra.

 

Suburethral strip procedure

 

The procedure takes 20-30 minutes.

 

Patients usually stay in the hospital for from a few hours up to 48 hours.

 

The intervention involves little pain. The thighs may be painful for a few days after the operation as a result of the needles.

 

Recovery usually takes approximately two weeks, but the time needed before going back to work may vary according to your profession. Once out of hospital, you can resume your normal activities, but you must avoid strenuous activity, such as lifting loads heavier than 5 kg for a month.

 

 

 

L'Institut de Gynécologie et d'Obstétrique

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