Surgical alternative>> Burch...Paravaginal Repair...Vesica Needle Suspension
From: Helen Dynda (olddad66@runestone.net)
Fri May 26 16:11:57 2000
" Surgical approaches are useful in patients who have more severe forms of stress incontinence, or who have failed or are not satisfied / compliant with more conservative measures. There are many different procedures done to correct incontinence, the goal of each is to re-support the bladder neck to prevent its downward rotation with stress. The selection of which operation is done is usually based on the patient's symptoms, medical condition, ongoing risk factors for failure ( obesity, chronic cough, heavy lifting ) and the skill / training of the surgeon. It is very important that at the time of the surgery, other problems such as rectoceles, enterocele, vaginal, and /or uterine prolapse are corrected. Otherwise, there is a great chance that the patient will no longer be incontinent, but will be just as miserable with worsening of another problem."
[] Surgical alternatives: Burch, Paravaginal Repair, Vesica Needle Suspension
http://www.universityobgyn.com/surgical.htm