Treatment for urinary incontinence in women

Urinary incontinence is a common symptom that occurs in many women. Urinary incontinence can also cause some embarrassing situations for female patients. In order to avoid these situations and to ensure the health of their urinary system, female patients must seek timely treatment when the disease occurs. Next, I will introduce to you the treatment methods for urinary incontinence!

1. Anterior vaginal wall repair

Make a longitudinal incision from 1 cm below the urethral opening to the bladder neck. Separate the two sides of the vaginal wall, and use a round needle and silk thread to fold and suture the soft tissues on both sides of the bladder neck and urethra in a mattress-like manner to strengthen the posterior wall of the bladder and urethra. This procedure is suitable for patients with mild symptoms who need to undergo anterior vaginal wall prolapse repair or hysterectomy at the same time.

2. Retropubic bladder neck urethral suspension

Make a midline abdominal incision and fully free the retropubic bladder, bladder neck and part of the urethra. The tissue around the urethra is sutured to the retropubic fascia or suprapubic ligament to lift the bladder neck and urethra to achieve a suspension effect. In recent years, laparoscopic technology has been used in many foreign countries to perform this procedure, also known as the Burch vaginal wall suspension procedure.

3. Bladder neck or urethral sling

Through a combined abdominal and vaginal incision, a piece of autologous biological fascia (such as the anterior rectus abdominis tendon, fascia lata, etc.) or artificial material [such as TVT, prolene mesh, etc.] is passed around the urethra or bladder neck and suspended and fixed on the muscles and fascia of the lower abdominal wall to compress the urethra and bladder neck and enhance the urethral closure effect. This procedure is suitable for patients with various types of stress urinary incontinence and is currently recognized as one of the procedures with the best long-term efficacy.

4. Endoscopic bladder neck suspension

Make a 1 cm small incision two horizontal fingers above the upper edge of the pubic symphysis and 3 cm away from the midline. Insert a special long needle through the incision and, guided by the index finger in the vagina, exit from the vaginal wall at the junction of the bladder neck and urethra. Lead out a No. 2 nylon thread from the small hole of the needle. Use the same method to insert the long needle parallel to the aforementioned nylon thread and lead out the other end of the nylon thread. Perform the same operation on the contralateral side. Lift the nylon threads on both sides, restore the posterior angle of the bladder and urethra, and tie a knot outside the rectus sheath. This procedure has shallow incisions, minimal trauma, and is safe, accurate and reliable. It is suitable for most female patients with stress urinary incontinence, especially obese women and those who have failed surgery. But the long-term efficacy is not ideal.