Bladder Neck Suspension Procedure in Jagdalpur: Preparation, Surgery & More

Bladder neck suspension surgery in Jagdalpur is a surgical procedure used to treat stress incontinence in women. Stress incontinence is a common condition where laughing, sneezing, or coughing lets a few drops of urine escape from the bladder involuntarily. Bladder neck suspension involves lifting and securing the bladder and urethra to the pelvic bone. 

This prevents the bladder from leaking urine on coughing, laughing, or sneezing. This surgery is done in several ways. Open abdominal surgery, surgery through the vagina, laparoscopic surgery, and sling surgery are the various approaches to this surgery. 

Bladder neck suspension surgery in Jagdalpur, or Burch Procedure, is a surgical way to treat stress incontinence in women. Stress incontinence happens when the muscles supporting the bladder and urethra are weakened. This causes urine to leak when the lady coughs, sneezes or laughs. Stress incontinence is commonly seen after-

• Pregnancy
• Multiple Childbirth
• Menopause
• Surgeries in the pelvic area
• Problems with the bladder and urethra

The surgery involves lifting the bladder and urethra and securing them to nearby structures, mainly the pelvic bone. Bladder neck suspension surgery is of various types. Your surgeon will evaluate your case and choose the best surgery.

• Open retropubic suspension- This is an abdominal procedure. The surgeon approaches the bladder and urethra through incisions made on your abdomen.
• Laparoscopic retropubic suspension- This procedure is done laparoscopically. Smaller incisions on your belly help the surgeon reach the bladder and urethra.
• Needle bladder neck suspension- This procedure uses a vaginal approach to reach the bladder.
• Sling Surgery- This bladder neck suspension surgery uses a sling or a hammock to cradle the bulging bladder. The hammock is usually created from a piece of your body tissue, mostly from the abdominal wall.

Bladder neck suspension surgeries in Jagdalpur are performed under general anesthesia and take up to 90 minutes to complete. You can go home once all your vital parameters are stable. 
The surgery works well only for stress incontinence. The success rate is about 80 to 90%. Your pelvic floor muscles may weaken as you age, and the surgery's effects may diminish. The symptoms of stress incontinence may recur, and you may need further medical intervention.

Bladder neck surgery in Jagdalpur is used to treat stress incontinence in women. Weak pelvic floor muscles lead the bladder and urethra to descend downwards. Any stress-inducing action like coughing, sneezing, laughing, or lifting heavy objects leads to an involuntary and momentary opening of the sphincter of the bladder. This causes a few drops of urine to escape. Stress incontinence can be a socially embarrassing situation. It is commonly seen in women over 65 years. Stress incontinence is commonly seen after:

• Pregnancy
• Multiple Childbirth, especially vaginal childbirth
• Menopause
• Surgeries in the pelvic area like a hysterectomy
• Problems with the bladder and urethra

Bladder neck surgery aims to lift the sagging bladder and urethra and secure them against a nearby structure like the pelvic bone. This provides relief from the symptoms of stress incontinence.

A bladder neck suspension procedure is a surgery done to treat the symptoms of stress incontinence in women. It is done through various approaches. Your surgeon will evaluate your case and choose the best surgery. Here is how you can prepare for this procedure-

• You can ask your surgeon to explain the procedure's details, outcome, and prognosis. You will be asked to sign an informed consent form agreeing to proceed with the surgery.
• Discuss your medical history with your surgeon and inform him about-
  • All the medications that you are currently taking for your health conditions
  • Any dietary supplements and herbs that you are taking
  • Allergies towards medicines, if any.
• You will be asked to undergo a few diagnostic tests for stress incontinence. 
  • Physical tests- your surgeon will conduct these tests at his clinic.
    •  He will ask you to cough to check for urine outflow
    • He will insert a finger into the vagina and ask you to squeeze to check for damage to the pelvic floor muscles
    • A vaginal examination is done to check for cystocele ( a condition where the bladder descends into the vagina)
  • Cystoscopy- To check for abnormalities in the urethra and bladder
  • Ultrasound scan of the bladder.
• You will be asked to stop medications like blood thinners (to prevent excessive bleeding during and after surgery) a week before surgery.
• On the day of the surgery, you will be asked to fast for at least 12 hours before the surgery.
• You will be asked to arrange for a friend or relative to drive you home after the surgery.

Bladder neck suspension surgery in Jagdalpur is done when the conventional treatment for stress incontinence has failed to yield the desired results. The surgery is performed by a skilled urologist and takes 60 to 90 minutes.

The surgery is done under general anesthesia. You will be advised to maintain a fasting period of a minimum of 12 hours. An IV line will be set up by attaching a catheter to a vein in your hand. This helps to keep administering fluids into your body. 

• You will be given general anesthesia, and once the anesthesia sets in, the surgeon can perform the surgery through 3 approaches
  • Open retropubic suspension- This is an abdominal procedure. The surgeon approaches the bladder and urethra through incisions on your abdomen near the belly button.
  • Laparoscopic retropubic suspension- This procedure is done laparoscopically. Smaller incisions on your belly help the surgeon reach the bladder and urethra.
  • Needle bladder neck suspension- This procedure uses a vaginal approach to reach the bladder.
  • Sling Surgery- This bladder neck suspension surgery uses a sling or a hammock to cradle the bulging bladder. The hammock is usually created from a piece of your body tissue, mostly from the abdominal wall.
• Once the lifting and securing of the bladder against the pelvic wall is complete, the incisions are closed with sutures.
• You will then be transferred to a recovery room, where your vitals will be monitored. 
• You will be kept in the hospital overnight. Once your pulse, blood pressure, respiratory rate, and temperature are normal and you have successfully passed urine and motions/gas a few times, you will be sent home.
• The recovery depends on the type of surgery done. The open abdominal procedure takes 6 to 8 weeks. The laparoscopic and vaginal approach surgeries take comparatively lesser time to heal.

Recovery from bladder neck suspension surgery depends on the type of procedure the surgeon has performed. The open abdominal approach takes 6 to 8 weeks to heal. Procedures done laparoscopically and through the vagina have a shorter healing period. Here is how you can care for yourself after the surgery and heal faster.

•  Take all the prescribed medications on time
• Drink adequate amounts of water to stay hydrated
• Rest completely till the pain and discomfort go away
• You may be able to get back to your routine in a week, but you will end up feeling exhausted very quickly. Hence it is advisable to take things slow.
• Avoid activities that put pressure on the vagina and bladder, such as-
  • Strenuous exercises
  • Lifting heavy objects
  • Having sex
  • Using tampons and menstrual cups
  • Straining during bowel movements
• Keep the wound area completely dry. Avoid moisture accumulation on or near the incision site.

Bladder neck suspension surgery is very effective in treating the symptoms of stress incontinence. However, the results do not last long, and the symptoms recur after a few years. You may need to repeat the procedure if the symptoms become unbearable.

Benefits: 

• Works well in cases of mild to moderate stress incontinence
• Has a high success rate of 80 to 90%

Risks:

• Recurrence of symptoms
• Pain while urinating
• Urinary retention requiring catheterization
• Pain during sexual intercourse
• Vaginal prolapse
• Bleeding
• Urinary tract infections
• Damage to the blood vessels in the area
• Reaction to anesthesia

Surgery can be a daunting aspect, and feeling anxious is absolutely normal. The massive amount of information you can get from the internet may confuse you even more. This is where Medfin can help. Leave us the hefty task of finding the best hospital, the finest doctor, and the latest procedure at the lowest cost. Let us take charge while you sit back and focus on your health and recovery. Think surgery! Think Medfin!