Stress urinary
incontinence and the adjustable sling (Ajust®)
Stress urinary
incontinence affects approximately 15-35% of women.
Stress urinary
incontinence is the leakage of urine with coughing,
sneezing, laughing and exercise
Surgery is one of the
options available for improvement and over the years
numerous different ones have been around and undergone
countless changes.
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Insertion of the sling,
one small incision in the vagina |
In the search for
minimally invasive surgeries and possible repair under
local anesthesia, mini slings / mini transobturator
tapes have been developed. One small incision in the
vagina is made through which the sling gets inserted,
none on the abdomen or in the groin.
Not only is the sling
"mini" and seems to be as effective as the longer ones,
it is adjustable at the time of insertion.
Under local
anesthesia a patient can be asked to cough with
a full bladder and the sling can be adjusted to where
there is no leakage.
Under anesthesia,
the bladder can be filled, pressure exerted on the
bladder and adjustment can be made to where there is no
leakage. This should theoretically diminish the chance
of a sling being too tight and cause retention of
urination or too lose and not providing the desired
dryness.
Limitations after
surgery are no intercourse till the stitch has
dissolved, but otherwise regular activities can be
performed rather quickly. Dr. Sprock is almost
exclusively using this sling for the surgical repair of
stress incontinence and is one of the most experienced
adjustable sling surgeons in the south-eastern United
States.
The small tubular mesh will be cut after
the adjustment to the larger sling mesh/tape
has been made
Through
one small incision in your vagina, Dr.
Sprock can cure your urine leakage with
coughing, sneezing, exercising and yes, then
you can laugh, without wetting your pants.
Dr.
Sprock is the most experienced Ajust®
surgeon in the South Eastern USA
(Information CR. Bard®, 10-18-10) |
For more information
call Dr. Sprock, the most experienced Ajust®
surgeon in the South Eastern USA at Central
Florida UroGynecology. Schedule your appointment at
321-806-3929.
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