Gynecology: Implantation free synthetic loop in Uterine prolapse (Tension-Free Vaginal Tape Implantation for Uterine Prolapse)
Prolapse of the uterus is its descent up to falling out of the genital slit. The close anatomical ties between the uterus and the bladder leads to the fact that the latter descends too. The patients develop urinary disorders manifested by frequent urge to urinate and involuntary loss of urine upon stress (cough, running, laughing). The bladder function is restored by sling urethropexy.
The surgery implies imposition of the tension-free vaginal tape around the bladder neck. Replacing the weakened muscles, such an implant supports the urethra and prevents the urine leakage.
The intervention takes place under epidural anesthesia. The surgeon cuts the front wall of the vagina and make punctures to install the tape. Using special conductors, the implant is put through the holes, and the side ends are brought outside through the skin of the thigh.
The effectiveness of the installation is checked by pushing the abdominal wall. If there no urine output is observed, the surgery is completed. The incisions of the vaginal mucosa and thigh skin are sutured with bioresorbable sutures. All manipulations take no more than 30 minutes.
After the intervention, the patient is taken to the room where she remains under medical supervision. She is allowed to get up and move around on day 2. To alleviate her condition, the physician prescribes painkillers. In the absence of complications, the patient is discharged after 6 days.Hide
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