Urinary Incontinence (Tvt/Tot) Surgery

Urinary Incontinence Surgery

Urinary incontinence is a problem usually seen inolder women, but it can occur at any age. This surgery is performed to improve the ability to retain urine.

How is Urinary Incontinence Surgery Performed?

• Preparation: Before the surgery, the patient is anesthetized with general or local anesthesia.
• Surgical Procedure:
  • TVT Surgery:
    • A small incision is made inside the vagina.
    • The tape is placed under the bladder neck.
    • The ends of the tape are removed from the groin area and the tape is adjusted accordingly.
  • TOT Surgery:
    • Two small incisions are made in the groin area.
    • The tape is passed through these incisions and placed under the bladder neck.
• Recovery: After surgery, there is usually a short stay in the hospital and normal activities can be returned within a few weeks.

Urinary Incontinence Surgery in Women

Female urinary incontinence surgery is a surgical intervention performed to improve bladder control. It is generally used in the treatment of stress urinary incontinence. Female urinary incontinence surgeries are common, especially in women who have given birth or are in the post-menopausal period. These surgeries improve urinary control by increasing bladder support.

Types of Urinary Incontinence

• Stress Incontinence:

  • Definition: Urinary incontinence when coughing, sneezing, laughing, or exercising.
  • Causes: Weakening of the pelvic floor muscles, birth, menopause.

• Urgency Incontinence:

  • Definition: Sudden strong need to urinate and not being able to reach the toilet when this need comes.
  • Causes: Overactive bladder, neurological disorders.

• Mixed Incontinence:

  • Definition: Coexistence of both stress and urgency incontinence symptoms.

Types of Surgery

• TVT Surgery (Tension-Free Vaginal Tape):

  • Procedure: A synthetic band is placed under the bladder neck to provide support.
  • Advantages: Minimally invasive, fast recovery time.
  • Who is it suitable for: Women experiencing stress urinary incontinence

• TOT Surgery (Transobturator Tape):

  • Procedure: The tape is passed through the groin area and placed under the bladder neck.
  • Advantages: Less invasive, low risk of complications.
  • Who is it suitable for: Stress urinary incontinence

• Sling Surgery:

  • Procedure: The patient's own tissue or synthetic material is used to provide support for the bladder neck.
  • Advantages: Long-term solution.
  • Who is it suitable for: More severe cases of urinary incontinence.

• Burch Colposuspension:

  • Procedure: The bladder neck is suspended to the anterior wall of the pelvis with stitches.
  • Advantages: An effective method.
  • Who is it suitable for: Stress urinary incontinence

• Injectable Fillers:

  • Procedure: Fillers are injected into the bladder neck.
  • Advantages: Minimally invasive, fast procedure.
  • Who is it suitable for: Mild stress urinary incontinence

Preoperative Evaluation

• Medical History:

  • Evaluation: The patient's medical history and current health condition are evaluated.

• Physical Examination:

  • Evaluation: Pelvic examination, urine test, and bladder function tests are performed.

• Imaging Techniques:

  • Methods: Ultrasound, cystoscopy.

Postoperative Care

• Healing Process:

  • Duration: Usually a few weeks.
  • Activities: Heavy lifting and intense exercise should be avoided in the first weeks.

• Monitoring and Controls:

  • Checkups: Regular doctor visits and pelvic floor exercises are recommended.

• Complications:

  • Possible Complications: Infection, band slippage, difficulty urinating.

Causes of Urinary Incontinence in Women

• Pregnancy and Birth: Weakening of the pelvic floor muscles.
• Menopause: Decline in estrogen levels.
• Aging: Strength of muscles and connective tissues. to lose.
• Obesity: Increased pressure on the bladder.
• Chronic Diseases: Diabetes or neurological disorders.

Urinary Incontinence Surgery Price Turkey

The price of urinary incontinence surgery varies depending on the location of the hospital, the surgeon's experience and the method used. In sensitive surgical procedures such as urinary incontinence surgery, choosing the right doctor is of great importance. Our team will offer you the appropriate option with its expertise in the field.