Stress incontinence surgery

In case of more serious symptoms, i.e. in case of significantly impaired health or failure of conservative therapy, there are several surgical methods that can help with varying degrees of success.

A few years ago, the gold standard in treatment was the application of a strip of synthetic material under the central part of the urethra.

Minimally invasive, highly effective, with very low morbidity and relatively quick postoperative recovery, this procedure (TOT sling) is the most used method in treatment for a reason.

It has been shown that the success rate of such surgical treatment is 98%, even with long-term monitoring of patients.

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Stress incontinence surgery at the Gyn-Fertility Clinic Milenković

The surgery is performed under regional or general anesthesia, through three very small and hidden incisions.

The effect is immediate - immediately after the surgical treatment, the problem is solved.

The end result is complete regained control over urination for many years after the surgery, which drastically improves the quality of life of the woman, who is now free, active and healthy.

The decision on surgery is made after a gynecological and ultrasound examination and a consultation with a gynecologist.
Patient’s informed consent is required for surgical treatment.
Before the surgery, the patient fills out a detailed questionnaire about her health condition.
Depending on the planned anesthesia, it may be necessary to perform certain analyses, as well as additional examinations.
6-8 hours before the surgery, the patient stops taking food and liquids.

Upon admission, the patient prepares to enter the operating room.
A needle is inserted into the vein so that the patient can receive the necessary medication.
The surgery is performed on the operating/gynecological table. The vagina is treated with an antiseptic.
The surgery lasts from 30-60 minutes.
It is done under general or spinal anesthesia.
A catheter (silicone tube) is placed in the bladder, which can sometimes remain for up to 24 hours.
Sometimes the vagina is "tamponed", that is, gauze is placed in the vagina, which is removed after a few hours.

The patient moves to the patient room where she stays for a few hours if the day surgery concept has been previously agreed upon, or 24 hours when hospital post-operative care or monitoring is required.
The patient receives intravenous fluids, followed by water and a light meal.
With early mobilization, that is, getting out of bed, the risk of complications is reduced.
Pain is treated with painkillers.
If you stay in the hospital, anticoagulant therapy (subcutaneous injections against blood clotting) is given.
Sometimes you feel nauseated and tired during the day as a result of anesthesia.
Vaginal bleeding usually stops a few days after the surgery and the threads "fall out "on their own", that is, it is not necessary to remove the threads. Avoiding work and physical exertion, as well as abstinence from sexual intercourse for 6 weeks, is advised. Vaginal estrogen treatment is recommended for menopausal women.