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It is a well established abdominal operation to treat female stress urinary incontinence. The aim of the surgery is to lift the bladder neck to the strong ligaments on the pelvic bones using sutures.
The surgery may be done concurrently with other procedures, like removing the womb (uterus), for benign conditions such as uterine fibroids or uterine prolapse.
It is performed to cure female stress urinary incontinence caused by a loose and hypermobile bladder neck. The success rate is 85% at 1 year; 80% at 5 years and 70% at 10 years after surgery.
They are:
It is a relatively safe procedure. However, like all surgeries, complications may occasionally occur. These include:
There are other surgeries that can be done to correct female stress urinary incontinence. Tension-free vaginal tape (TVT or TVT-O) insertion is an alternative that is now the most effective continence surgery.
Non-surgical alternatives include:
After the operation, you are required to return for regular follow-up care. You will be seen at 1 week, 1 month, 6 months, 1 year and yearly thereafter. Urodynamic studies will be repeated at 6 months after surgery to confirm cure and to exclude other bladder disorders.
Head & Senior Consultant
MBBS (Spore), FRCOG (UK), FAMS (Spore)
Sub-Specialty: Obstetrics & Gynaecology, Urogynaecology
Senior Consultant
MBBS, MD (O&G), MRCOG (London, UK), FAMS (O&G Spore), HMDP Fellowship (RWH, Melbourne, Australia)
Sub-Specialty: Female incontinence surgery, Female Pelvic Reconstructive Surgery, Urogynaecology
MBBS (Spore), Dip (FM) (Spore), MRCOG (UK), FRCOG (UK), FAMS (O&G)
Sub-Specialty: Female incontinence surgery, Pelvic floor reconstructive surgery, Urogynaecology
Consultant
MBChB (Edin), MSc in Clinical Education (Edin), MRCOG (UK), MRCP (UK)
Sub-Specialty: Urogynaecology