Urethral Suspension—Retropubic Suspensions
Definition
Stress incontinence is one of the many causes of uncontrolled leaking of urine. Urethral suspension is a surgery to correct incontinence in women.
The incontinence is most often caused by weakening of the pelvic muscles that normally keep the bladder in position. The muscles may be weakened by:
- Pregnancy
- Childbirth
- Menopause
- Previous pelvic surgery
- Lack of physical activity
Copyright © Nucleus Medical Media, Inc.
Reasons for Procedure
The goal of this surgery is to provide extra support to the urethra, which gives more resistance against leakage. This will stop the uncontrolled leaking of urine.
Possible Complications
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
- Bleeding
- Infection
- Reactions to anesthesia
- Inability to urinate
- Continued incontinence or recurrence of the problem
- Damage to other nearby organs or blood vessels
- Pain such as during sexual intercourse
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
What to Expect
Prior to Procedure
Your doctor will try to find out why you are leaking urine through some or all of the following:
- Medical history—information about medications, illnesses, number of pregnancies, and previous surgeries; pattern of leaking and how it is affecting your life
- Urine sample—to look for the presence of infection or other problems
- Physical exam—includes a rectal and vaginal exam
-
Additional testing may be ordered to evaluate bladder function and urine flow such as:
- Urodynamic testing (urine flow studies)—a temporary catheter is placed to study bladder function
- Cystoscopy —a procedure done to view the inside of the bladder
Leading up to surgery:
- Talk to your doctor about your medicines. You may be asked to stop taking some medications up to one week before the procedure.
- Arrange for a ride home from the hospital.
- Do not eat or drink anything after midnight the night before.
Anesthesia
You may receive a spinal anesthetic to numb your lower body. General anesthesia may also be used, in which case you will be asleep.
Description of Procedure
An incision will be made in the lower abdomen. Sutures will be placed near the bladder and urethra. The threads of the sutures will then be secured to the pelvic bone or other structures in the pelvis. This supports the bladder by forming a cradle for it.
Immediately After Procedure
After surgery, you will be monitored in a recovery room. You will most likely have a catheter in place to drain your urine.
How Long Will It Take?
1-1.5 hours
How Much Will It Hurt?
Anesthesia will block pain during the surgery. After surgery, you may experience some pain or soreness. You will be given pain medication to relieve discomfort.
Average Hospital Stay
2-3 days
Postoperative Care
At the Hospital
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 up and walking the same day or the day after surgery.
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
There are also steps you can take to reduce your chances of infection such as:
- Washing your hands often and reminding visitors and healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incisions
At Home
Avoid lifting and strenuous exercise for 6 weeks after surgery. This will allow healing to take place. Do not return to sexual activity or use tampons until your doctor says it is okay to do so.
Call Your Doctor
Contact your doctor if your recovery is not progressing as expected or you develop complications such as:
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
- Pain that you cannot control with the medications you were given
- Cough, shortness of breath, or chest pain
- Severe nausea or vomiting
- Trouble urinating
- Pain, burning, urgency, or frequency while urinating
If you think you have an emergency, call for emergency medical services right away.
RESOURCES:
National Institute of Diabetes and Digestive and Kidney Diseases
https://www.niddk.nih.gov
Urology Care Foundation
http://www.urologyhealth.org
CANADIAN RESOURCES:
Canadian Urological Association
http://www.cua.org
The Canadian Continence Foundation
http://www.canadiancontinence.ca
REFERENCES:
Surgical treatment for female stress urinary incontinence. National Association for Continence website. Available at: https://www.nafc.org/resource-center/surgical-treatment-for-female-stress-urinary-incontinence. Accessed December 18, 2017.
Townsend MK, Danforth KN, Rosner B, Curhan GC, Resnick NM, Grodstein F. Physical activity and incident urinary incontinence in middle-aged women. J Urol. 2008;179(3):1012-1016.
Urinary incontinence. Urology Care Foundation website. Available at: http://www.urologyhealth.org/urologic-conditions/urinary-incontinence. Accessed December 18, 2017.
Urogynecologic surgical mesh. US Food & Drug Administration website. Available at: https://www.fda.gov/downloads/medicaldevices/safety/alertsandnotices/ucm262760.pdf. Accessed December 18, 2017.
6/2/2011 DynaMed Plus Systematic Literature Surveillancehttp://www.dynamed.com/topics/dmp~AN~T905141/Treatment-for-tobacco-use: 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.
Last reviewed November 2018 by EBSCO Medical Review Board Adrienne Carmack, MD Last Updated: 12/20/2014