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Treatment Services


		Prolapse

		Incontinence

Surgical Management

TOT & Injectables

Surgical Treatment-Prolapse

Surgical Treatment- Incontinence

Burch colposuspension

This has been the gold standard for treatment of SUI. The procedure can be done by the open or laparoscopic technique. This entails suspending the bladder to a higher position thereby providing support to the urethra.

Slings

TVT (Tension free vaginal tape)

The procedure described in 1995 caused a landmark change in the management of SUI. This involves support of the urethra by means of a polypropylene mesh placed at the mid-urethra. The tape acts like a backstop and prevents leakage of urine during increase in intra- abdominal pressure. The procedure can be done on an outpatient basis and success rates over a 7 year period have been in the range of 85-95%.

Tension free Vaginal Ttape

TOT (The transobturator tape)

Top

This is the latest procedure on the block. The needle used in the TOT does not travel a great deal inside the abdomen and hence complications noted with the TVT procedure are minimized. The tape lies like a hammock beneath the midurethra. This procedure is also done on an outpatient basis.

Injectables

These are substances that are used to bulk up the urethra in patients with incontinence. They are also done as day care procedures. However the success rate of this procedures is low . A variety of substances from collagen, Teflon, carbon beads, fat and blood can be injected.

Did You Know?
Approximately 1 out of 4 women have Urinary Incontinence (UI). Stress Urinary Incontinence (SUI) is the most common type of incontinence in women. The most studied and proven risk factors for SUI are age, obesity and parity.