Urethral suspension is a surgery to correct stress incontinence in women.
The goal of this surgery is to place the urethra and bladder back into the correct position. This will stop the uncontrolled leaking of urine.
Complications are rare, but no procedure is completely free of risk. If you are planning to have a urethral suspension, your doctor will review a list of possible complications, which may include:
Factors that may increase the risk of complications include:
Talk to your doctor about any factors that may increase your risk.
Your doctor will try to find out why you are leaking urine through:
Leading up to surgery:
This procedure is done through the vagina. There are no visible cuts made in the skin. Special surgical tools will be passed up through the vagina. These tools will be used to place sutures near the bottom of the bladder. The threads will then be tied to the abdominal wall or the pelvic bone. The thread will pull the bladder back into its normal position. The threads will be left in place to continue to support the bladder.
After surgery, you will be monitored in a recovery room. You will most likely have a catheter in place to drain your urine.
Anesthesia will block pain during the surgery. After surgery, you may experience some pain or soreness. You will be given pain medicine to relieve the discomfort.
You will most likely be sent home the same day.
At first, your urine may look bloody. This will resolve over time.
When you are able to empty your bladder completely, the catheter will be removed. You may be asked to get up and walk around.
Certain steps will allow healing to take place. General steps include:
To help ensure a smooth recovery, follow your doctor's instructions.
After you leave the hospital, contact your doctor if any of the following occurs:
In case of an emergency, call for medical help right away.
National Kidney and Urologic Diseases Information Clearinghouse
Urology Care Foundation
Canadian Continence Foundation
Canadian Urological Association
Incontinence. American Urological Association Foundation website. Available at: http://www.urologyhealth.org/urology/index.cfm?article=143. Updated January 2011. Accessed September 16, 2012.
Urinary incontinence. American Association of Family Physicians website. Available at: http://familydocto.... Accessed September 14, 2012.
Surgical mesh. US Food and Drug Administration website. Available at: http://www.fda.gov.... Updated October 8, 2009. Accessed September 14, 2012.
Surgical treatment for female stress urinary incontinence. National Association for Continence website. Available at: http://www.nafc.or.... Updated July 2009. Accessed September 14, 2012.
Townsend MK, Danforth KN, et al. Physical activity and incident urinary incontinence in middle-aged women. J Urol. 2008;179:1012-1016; discussion 1016-1017.
Wein AJ. Campbell-Walsh Urology. 9th ed. Philadelphia, PA: Elsevier Saunders; 2007: chap 67.
6/3/2011 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
Last reviewed September 2012 by Adrienne Carmack, MD
Last Updated: 09/26/2012
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