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)
