O.T.V.T urinary incontinence

Urinary incontinence is one of the main problems in urogynecology negatively affecting the social, occupational or sexual aspects of the lives of the sick.

O.T.V.T consists in suspending the middle section of the urethra with a special, tension free polypropylene tape. This treatment enables reconstruction of the physiological vesicourethral angle. It aims to correct the elements that hang the uterus, bladder and urethra. This operation is performed in cases of primary and recurrent incontinence. It can also be associated with other gynecological operations. Stress incontinence is manifested by unconscious delivery of small amounts of urine without a feeling of pressure due to physical exertion, which increases the pressure inside the abdominal cavity (eg cough). The cause is the anatomical defect of the vagina – changes within its walls (reduction of the normal amount of collagen and elastin) or abnormal functioning of the structures surrounding the vagina (ligaments, muscles, connective tissue, vaginal). The result is a lack of support of the bladder by the ligamental and fascial apparatus and adjacent organs. A very common cause of urinary incontinence is damage to the pelvic tissues during childbirths by the forces of nature. O.T.V.T. is a minimally invasive method, performed under local or ductal anesthesia. This treatment is characterized by a small number of complications and shortened convalescence time. The average duration of such treatment is 20-30 minutes. The effect of the operation is immediate and the long-term effectiveness reaches 90%.

Risk factors for urinary incontinence:

older age births,
especially numerous and large fetuses
past gynecological treatments
obesity (BMI> 30) chronic
diseases with cough chronic constipation taking some medicines (diuretics, anti-anxiety and hypotensive drugs)

How to prepare for surgery?

The operation is preceded by a consultation visit. Before the procedure, the following tests should be performed (tests can be performed at our Clinic)

blood group
morphology
urinalysis
coagulogram – APTT, INR, PT
ECG after 40 years of age
HBS antigen
electrolytes
sugar level

Two weeks before the planned treatment, you must not take the following medicines: aspirin or its derivatives (eg Acard, Aspirin, Calcipirine, Polocard), Vit.E and antitussive and anti-influenza drugs. These measures adversely affect the prolongation of bleeding during surgery.

Postoperative period

After the surgery and several hours of hospitalization, the patient is discharged home. The control visit at the Clinic should take place after approx. 7 days. The patient returns to complete physical activity after a few days – the period of wound healing and descent of the swelling around the operated site is about 7 days. The patient may feel sustained pain after the treatment, which is alleviated by both painkillers, available without a prescription, and ketonal. Increased patient temperature to 37.5 degrees is nothing to worry about.

Meticulous adherence to postoperative recommendations is crucial in rapid recovery and significantly affects the end result of the operation.