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Procedimientos de cabestrillo vaginal para la incontinencia urinaria - Overview

Nombres alternativos

Cabestrillo pubovaginal; Cabestrillo transobturador

Definición:

Los procedimientos de cabestrillo vaginal ayudan a controlar la incontinencia urinaria de esfuerzo, escape de orina que puede suceder cuando usted se ríe, tose, estornuda, levanta cosas o hace ejercicio. Estos procedimientos ayudan a cerrar la uretra (el conducto que lleva la orina desde la vejiga al exterior) y el cuello de la vejiga (la parte de la vejiga que conecta a la uretra).

Ver también:

Descripción:

Los procedimientos de cabestrillo vaginal utilizan:

  • Tejido del propio cuerpo.
  • Tejido del cuerpo de otra persona.
  • Material sintético (artificial).

El médico hará una pequeña incisión quirúrgica en la vagina y otra incisión pequeña justo por encima del vello púbico o en los pliegues de los muslos. La mayor parte del procedimiento se hace a través de la incisión en la vagina.

El médico crea un cabestrillo del tejido del cuerpo o del material sintético. El cabestrillo pasa por debajo la uretra y el cuello de la vejiga. El médico fija el cabestrillo a los tejidos en la parte baja del abdomen que son muy fuertes.

Por qué se realiza el procedimiento:

Estos procedimientos se realizan para tratar la incontinencia urinaria de esfuerzo.

La mayoría de las veces, el médico probará con fármacos y reentrenamiento vesical antes de hablar de la cirugía con usted. Si usted ha ensayado esas cosas y todavía está teniendo problemas con el escape de orina, la cirugía puede ser su mejor opción.

  • Reviewed last on: 1/13/2011
  • Louis S. Liou, MD, PhD, Chief of Urology, Cambridge Health Alliance, Visiting Assistant Professor of Surgery, Harvard Medical School. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Oh S-J, Stoffel JT, McGuire EJ. Pubovaginal sling. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, PA: Saunders; 2007:chap 67.

Wai CY. Surgical treatment for stress and urge urinary incontinence. Obstet Gynecol Clin North Am. 2009;36:509-519.

Dmochowski RR, Blaivas JM, Gormley EA, et al. Female Stress Urinary Incontinence Update Panel of the 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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