Incontinence,
the involuntary loss of urine, is the result of loss of support
of the urethra and bladder provided by the fibro muscular tissue
of the vagina and surrounding tissues. Stress Urinary Incontinence
(SUI) is the most common type and is usually associated
with loss of urine when coughing, sneezing, laughing or exercising.
Urge incontinence, also known as Overactive
Bladder, is the urgent desire to void caused by overactivity
of the bladder. This form is usually treated with medication.
Intrinsic Sphincter Deficiency (ISD) leads to loss
of urine not associated with urgent desire or any stress and is
caused by loss of function of the urethral sphincter that controls
the bladder neck.
Overflow Incontinence is the loss of urine resulting
from a floppy over distended bladder.
Combinations of these conditions can coexist leading to concomitant
medical and surgical treatment.
Urinary
Incontinence Sling is a vaginal procedure that uses a thin
permanent mesh under the urethra to control urine loss during coughing,
sneezing, laughing or any other activity that increases abdominal
pressure and causes bladder leaking. Several techniques exist to
introduce the mesh, some using small incisions in the groin and
more recently, by small intravaginal (invisible) incision with minimal
pain or discomfort. It is usually done as outpatient.
Click
here to view a video of the Miniarc® Single Incision
Sling System.
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