Treatment of urinary incontinence in women. Operation TVT-S in the clinic Assuta.
A common problem of women of all ages is enuresis (incontinence). This is due to a decrease in the tone of the internal sphincter of the bladder, urethral hypermobility due to hormonal changes in the body, obesity, previous pregnancies, weight lifting, violation of the innervation of the pelvic organs in osteochondrosis.
Urinary incontinence may be stress, urge, and mixed. Stress incontinence occurs when lifting, coughing or sneezing. Involuntary leakage of urine immediately after the urge to urinate is called urge incontinence. When combined cause involuntary urine leakage develops mixed incontinence.
Incontinence Treatment starts with drug therapy and physical therapy methods. The Israeli hospitals used electromagnetic stimulation and electromyostimulation bladder.
Surgical treatment of urinary incontinence with no effect shown by conservative therapy.
In the clinic performed Assuta loop (sling) operations:
- Retropubic uretropeksiya free synthetic loop (Tensionfree Vaginal Tape) - TVTS operation;
- Loop uretropeksiya transobturator access (Transobturator Vaginal Tape) - TVT operation.
TVTS operation is performed for stress incontinence and mixed incontinence. Protivopokaznaniya for surgery - planned pregnancy, infections of the genitourinary system, Urgent incontinence When the tone of the bladder, anticoagulants and antiplatelet reception.
Sling techniques advanced Israel clinics are Primarily Aimed AT Enhancing the muscular wall of the urethra and Restoring the optimal had Anatomical location The of the urethra and the bladder.
The clinic Assuta, the following TVTS operations:
- Plastic with TVT-S tape;
- Plastic artificial grafts (TVT loop);
- Plastic vaginal walls.
TVT-S tape it - a short loop (mini-sling) of absorbable polymeric materials. Over time, the device grows connective tissue.
Equipment installation operation mini sling does not involve contact with the wall of the bladder and removal TVT-S tape to the skin.
TVT-S system is installed for the symphysis pubis at the following positions:
- the system ends a U-shape are fixed in the retropubic tissue.
- The ends of the system are fixed in the tissue of the obturator holes.
TVT is a loop - polymer network that is placed during an operation under the middle section of the urethra. TVT a loop maintains the urethra in the normal physiological state. The device is firmly connected to the surrounding tissues and eventually grows fat and connective tissue.
Fitting operation TVT-S and TVT performed for one hour. The patient is under the influence of spinal anesthesia and general anesthesia.
After surgery, hospitalization for 1 day.
Usually, the woman recovers quickly after surgery. Within a month, it is recommended to limit physical exertion and sexual activity.
S-operation TVT at Assuta Hospital - a modern, effective and gentle method of treating urinary incontinence in women.