Is surgery for you?

With surgery, 95% of patients experience a significant improvement in their condition and 60% are completely cured.

Natalia Gennaro, expert gynecologist, specialised in laparoscopic surgery and the pelvic floor

After diagnosis, the possible treatments will be proposed.

Surgery is reserved for severe cases or moderate and mild cases where other methods, such as a change of habits, psychotherapy and other alternatives, have failed, but the patient feels their quality of life is being compromised.

Non-surgical treatment

  • Absorbent products.
  • Naturopathy.
  • Topical vaginal estrogen.
  • Vaginal tampon or pessary.
  • Kegel and hypopressive exercises.
  • Psychotherapy and biofeedback.
  • Tibial nerve stimulation.
  • Laser therapy.
  • Urethral bulking injections.
  • Stem-cell therapy is currently being developed.

Surgical treatment

Image courtesy of Idytur©  Female urinary incontinence.

Fortunately, in medicine there exists what we call a “gold standard” for the treatment of urinary incontinence, which is a type of surgery that consists in implanting a permanent or semipermanent tissue in the form of a “hammock” below the urethra.

They’re called suburethral slings Slings and they are attached to the vagina with a small 2 cm incision and are supported by special needles. The arms of the sling can either be place in a retropubic or transobturator direction, which means they pass through the pubic area or the groin. There exists a smaller version, known as a Mini Sling, where there is only one vaginal incision and no sling arms, as they are pinned to the Obturator membrane inside of the pelvis.

The material is a synthetic and porous permanent or semipermanent implant which has been recognised in the field of medicine for more than 20 years and which is usually very well tolerated. There exists a restriction regarding the use of synthetic slings in the vaginal area, due to the ample mesh slings that are used to reconstruct vaginal prolapse. This, however, doesn’t affect the use of suburethral slings Slings, apical or laparoscopic mesh slings, whose capacity to produce erosions, extrusions and pain is considerably less.

The surgeon’s experience and expertise are associated with a decrease in preventable complications.

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