Urinary Incontinence Support Group
Urinary incontinence is the involuntary excretion of urine from one's body. It is often temporary, and it almost always results from an underlying medical condition. Stress, functional, and urge incontinence are the most common forms. Share with other support group members and learn from their stories and experiences.
My previous doctor was thinking about giving me surgery for a sling to be put in. I don't know a lot about it. I have not been able to find another specialist but hope to soon.
I also have bladder infections often.
What I found:
There is a picture of it on:
http://www.mayoclinic.org/urinary-incontinence/surgery.html
Sling Surgery is More Effective than Burch for Bladder Control in Women (I don't know what Burch is.)
In the largest and most rigorous U.S. trial comparing two traditional operations for stress urinary incontinence (SUI) in women, a team of urologists and urogynecologists supported by the National Institutes of Health (NIH) has found that a sling procedure helps more women achieve dryness than the Burch technique. The study is being released early by the New England Journal of Medicine (NEJM) to coincide with a presentation at the annual meeting of the American Urological Association on May 21, 2007. Results will appear in the May 24 print edition of NEJM.
For the first time, we have a meticulous, relatively long-term comparison of these common surgeries in women, said Leroy M. Nyberg Jr., Ph.D., M.D., director of urology research at the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Women who participated in this study have made it possible for many women with stress incontinence and their doctors to make more-informed choices based on clear benefits, risks and personal preferences.
The Stress Incontinence Surgical Treatment Efficacy Trial (SISTEr) found that significantly more women with a sling made from the patients own tissue and placed around the urethra for additional support were dry, compared to women with a Burch colposuspension, in which sutures are attached to a pelvic ligament to support the urethra. Both approaches are illustrated below. Two years after surgery, 47 percent of women who had the sling procedure and 38 percent who had a Burch were dry overall, including leakage that could have been caused by urge incontinence. Considering only stress-specific leakage, 66 percent of women with a sling and 49 percent with a Burch procedure were dry.
It only works in 38% of the time I think I read on one article.
Ann in Nashville
I also have bladder infections often.
What I found:
There is a picture of it on:
http://www.mayoclinic.org/urinary-incontinence/surgery.html
Sling Surgery is More Effective than Burch for Bladder Control in Women (I don't know what Burch is.)
In the largest and most rigorous U.S. trial comparing two traditional operations for stress urinary incontinence (SUI) in women, a team of urologists and urogynecologists supported by the National Institutes of Health (NIH) has found that a sling procedure helps more women achieve dryness than the Burch technique. The study is being released early by the New England Journal of Medicine (NEJM) to coincide with a presentation at the annual meeting of the American Urological Association on May 21, 2007. Results will appear in the May 24 print edition of NEJM.
For the first time, we have a meticulous, relatively long-term comparison of these common surgeries in women, said Leroy M. Nyberg Jr., Ph.D., M.D., director of urology research at the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Women who participated in this study have made it possible for many women with stress incontinence and their doctors to make more-informed choices based on clear benefits, risks and personal preferences.
The Stress Incontinence Surgical Treatment Efficacy Trial (SISTEr) found that significantly more women with a sling made from the patients own tissue and placed around the urethra for additional support were dry, compared to women with a Burch colposuspension, in which sutures are attached to a pelvic ligament to support the urethra. Both approaches are illustrated below. Two years after surgery, 47 percent of women who had the sling procedure and 38 percent who had a Burch were dry overall, including leakage that could have been caused by urge incontinence. Considering only stress-specific leakage, 66 percent of women with a sling and 49 percent with a Burch procedure were dry.
It only works in 38% of the time I think I read on one article.
Ann in Nashville
Much better now..85% better than before.. Still need a light pad..leak a little when I sneeze..that seems to be the worst. But considering what I was before the surgery..I would highly recommend. Every case is different..Some I know do not leak at all..I had abdominal surgeries in the past..possible that is another thing that weakend the muscles...Was done on an outpatient basis..had an epidural..not bad..little painful after but rest helps a lot..If dr recommends do it...and don't be afraid...let me know if I can help.
I wear a large overnight long pad 24 hours a day. I still leak when I get up and go to the bathroom first thing in the morning and if I don't get there quickly at other times. I could write a book!
The only time I lose complete bladder control is when I have a bladder infection every 2-3 months. Then nothing helps and I have to use several plastic pads on the bed.
I was losing control some recently even when I moved when I was in the car. That became very embarrassing.
I usually keep an extra pad with me, underwear and slacks but I seldom ever need them.
Ann in Nashville
Ann in Nashville
The 'old' way they use your own tissues to build the sling instead of implanting a synthetic one. This is much more safe and doesn't carry the risks that the synthetic sling does.
My doc just started me on Vesicare week before last and so far it is helping me some. I've decided to give it a few good months to see if it works well enough. If not, I am going with the surgery myself.
Hugs!
Rosey