Get answers to your Urinary Incontinence / Urogynecology questions.
Open retropubic colposuspension; Laparoscopic retropubic colposuspension; Needle suspension; Burch colposuspension
Retropubic suspension is surgery to help control urine leakage that can happen when you laugh, cough, sneeze, lift things, or exercise ( stress incontinence). The surgery helps close your urethra (the tube that carries urine from the bladder to the outside) and the bladder neck (the part of the bladder that connects to the urethra).
You will have either general anesthesia or spinal anesthesia before the retropubic suspension procedure. With general anesthesia, you will be asleep and feel no pain. With spinal anesthesia, you will be awake but numb from the waist down. You will not feel pain.
There are two ways to do retropubic suspension: open surgery or laparoscopic surgery. Either way, surgery may take up to 2 hours.
During open surgery:
During laparoscopic surgery, the doctor will make a smaller cut in your belly. A a tube-shaped medical device that allows the doctor to see your organs (laparoscope) is put into your belly through this cut. The doctor will sew the bladder neck, part of the wall of the vagina, and the urethra to the bones and ligaments in the pelvis.
This procedure is done to treat stress incontinence.
Most of the time, your doctor will have you try bladder retraining or Kegel exercises before talking about surgery with you.
Chapple CR. Retropubic suspension surgery for incontinence in women. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, PA: Saunders; 2007:chap 65.
Takacs EB, Kobashi KC. Minimally invasive treatment of stress urinary incontinence and vaginal prolapse. Urol Clin North Am. 2007;35(3):467-476.
Dmochowski RR, Blaivas JM, Gormley EA, et al. Female Stress Urinary Incontinence Update Panel of teh American Urological Association Education and Research, Inc, Whetter LE. Update of AUA guideline on the surgical management of female stress urinary incontinence. J Urol. 2010;183:1906-1914.
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