Patient Care Portal

Urinary Incontinence Surgery

What is Stress Incontinence?

Stress incontinence is the sudden unintentional release of urine during normal, everyday activities. You may have incontinence if you lose urine when you:

  • Cough, sneeze or laugh

  • Walk, exercise or lift something

  • Get up from a seated or lying position

  • Go to the bathroom frequently during the day to avoid accidents

If you are experiencing sudden urine loss, it means your urethra (the tube from your bladder where the urine comes out) does not stay closed until it’s time to urinate. Any movement that puts pressure on the bladder causes the urethra to lose its seal and allows urine to escape.

Who gets Stress Incontinence?

One of the myths about stress incontinence is that it is a normal part of aging. Although common, it is not a normal part of aging. Weakening of the pelvic floor, connective etissues ad muscle can happen as a result of:

  • Pregnancy and childbirth

  • Chronic heavy lifting or straining

  • Menopause or estrogen deficiency

  • Obesity

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How do I know I have Urine Stress Incontinence?

If you are experiencing sudden urine loss, take a moment to ask yourself:

  • Do you experience unplanned, sudden urine loss while laughing, sneezing, coughing or exercising?

  • Do you wear pads to absorb urine leakage?

  • Do you limit or avoid any activities to prevent leakage?

  • When planning a trip, outing or event, does the availability of restroom facilities affect your decision.

What can I do about it?

Pelvic floor exercises such as Kegels, and medication may be effective in treating stress incontinence. Other options include Biofeedback and Electrical stimulation. We can give you more information about these treatments in our office.

 

Surgical Treatment of Urine Stress Incontinence

TVT

What is TVT?

TVT Tension-free Support for Incontinence is an innovative, minimally invasive 30-minute, outpatient treatment with proven results for the effective treatment of stress incontinence. It can be done under local anesthesia. You will be back to a normal routine in just a day or two. It is clinically proven , safe and effective; more than 500,000 women have been treated with TVT.

How Does it Work?

TVT stops urine leakage by supporting your urethra when your pelvic muscles are no longer able to. Our doctor will insert a ribbon-like strip of mesh under the urethra to provide support whenever you stress this area ( such as during a cough or sneeze). This allows the urethra to remain closed, when appropriate, preventing involuntary urine loss.

The ribbon-like mesh is made from a permanent material that will be well tolerated by your body. It will be there to help support your urethra for the rest of your life.

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Is TVT Right For Me?

The best way to find out if you are a candidate is to make an appointment with our doctor. As with any procedure of this kind, you are not a good candidate if you are pregnant or planning a pregnancy in the future.

What Kind of Recovery can I Expect?

Usually you are able to go home as early as a few hours after your procedure and return to a relatively normal routine the next day. There will be very little or no discomfort after the procedure. Our doctor will recommend mild over-the-counter pain relievers if needed. You will be advised to avoid heavy lifting and intercourse for four to six weeks.

 

 

2240 Coliseum Dr. Suite. B Hampton, VA 23666 ∙ Phone 757 838-7277 ∙ Fax 757 838-8246 ∙ E-mail: hrogyn@aol.com