Urological surgery

Urethral fixation in case of urinary incontinence

There are various types of urinary incontinence, with stress and urge incontinence being the most common.

Stress incontinence is the involuntary leakage of urine due to low pressure in the urethra during exertion (jumping, running, etc.), weakness of the pelvic connective tissue and muscles. In milder cases, special exercises or medications may be helpful.

In the case of urge incontinence, there is a problem with controlling bladder filling. The bladder irritability has increased and the suppression of the urination reflex is impaired.

Surgical treatment of urinary incontinence using the sling method is indicated in cases of stress or mixed urinary incontinence. In the latter case, both forms of the disease occur at the same time.

Procedure

The aim of the urinary incontinence surgery is to support the connection between the urethra and the bladder so that the urethra does not open during physical exertion.

In the sling method, a sling made of special material is used to support the urethra, which is placed under the vagina. The ends of the sling are brought out with a special needle in the groin area. Two 0.5 cm skin incisions are made there beforehand, which are later closed. The threads are removed on an outpatient basis 5 days after the operation.

Dr Leonhard Kukk

Head of Surgery Clinic, urologist

Tallinn

Dots Aare Mehik

Urologist, surgeon

Tallinn

Dr Toomas Tamm

Urologist

Tallinn

Dr Roman Rusman

Urologist

Tallinn

Dr Tatjana Jõgis

Urologist

Tallinn

Dr Dmitri Korotõtš

Urologist

Tallinn

Dr Armen Ahlberg

Urologist

Tallinn