Stress Incontinence Flashcards
Sauces rate of colposuspention
80 out 100 successful in treatment their symptoms
Important points to remember before offering surgery
MDT
Ask about fertility wishes
Options of surgery for stress incontinence
Colposuspention: long lasting absorbable or permanent stitch placed on either side of the bladder neck and tied to strong fibrous tissue attached to pubic bone.
Ureter catheter for 2 days
2- Autolugus sling
3 vaginal Mesh
4 - bulking agent with bulkamid success 5-6 out of 10
5- ring pessary ask if latex and sexualy active
Post operative risk of colposuspention
1- slow urine flow
You may need to lean forward.
2 difficult emptying bladder
3- need of clean intermittent self catheterisation.
4- prolapse , Bulge in back wall of vagina 1:7 will have this, it’s called rectocele.
5- pain during sex
Things to remember
Ask about latex allergy
Medication like diuretics
Job
Ask if fail activity involve lifting anything heavy
Smoking
What is Stress incontinence
stress incontinence – when urine leaks out at times when your bladder is under pressure; for example, when you cough or laugh
Describe stress incontinence
What is Stress Incontinence?
Stress Incontinence is the leakage of urine caused by an increase in pressure in the abdomen (tummy) e.g. coughing, sneezing and exercise, due to a weakness in the support of the urethra (water pipe), and bladder neck.
This weakness is usually caused by childbirth, persistent heavy lifting or constipation, when the pelvic floor muscles are damaged. Further weakening occurs during the menopause because the quality of the supporting tissues deteriorates.
Important points in Urinary stress incontinence
Data will entered in the national register of incontinence
Dulextein
antidepressants (such as duloxetine) and managing withdrawal, see NICE’s guideline on medicines associated with dependence or withdrawal symptoms.
