On February 22, after being discharged from the hospital, Ms. Zhang left a message in the group of female pelvic floor disease patients in the First Affiliated Hospital of Xi'an Jiaotong University
Three days of minor surgery to solve the annoyance! The symptoms of postoperative urine leakage are gone, thanks to Professor Li and the medical staff of the diagnosis and treatment team! ”
Not daring to walk fast, coughing, laughing, two years of urine leakage made her life "embarrassing".
Two years ago, Ms. Zhang was 46 years old and began to leak urine, especially when she walked briskly, her cough worsened, and she did not leak urine when she slept, which made her life "embarrassing". After going to the local hospital, the doctor told her that it was stress urinary incontinence, and the pathogenesis was mostly caused by injuries during pregnancy and childbirth, or long-term increase in abdominal pressure such as decreased estrogen levels in menopausal women, long-term constipation or heavy physical labor, resulting in relaxation of the patient's urethral sphincter or pelvic floor and muscles and fascia around the urethra, and decreased urethral resistance. Involuntary leakage of urine can be observed when abdominal pressure increases when coughing, sneezing, laughing, etc., and when the sign is increased abdominal pressure, involuntary discharge of urine from the urethra can be observed. Urodynamic examination shows involuntary urine leakage in the presence of increased abdominal pressure without detrusor contraction on filling cystometry. Since Ms. Zhang was young and her symptoms were not very serious, the doctor advised her to be conservative first and keep exercising.
After the exercise effect is not good, in order to further **, she came to the outpatient clinic of Professor Li Xudong of the Department of Urology of the First Affiliated Hospital of Xi'an Jiaotong University, and suggested surgery**, that is, trans** middle urethral tension-free suspension, this operation can restore the normal anatomical position of the posterior urethra of the bladder neck, increase the pressure in the posterior urethra, improve the sphincter of the posterior urethra, and achieve the purpose of **.
Ms. Zhang was too afraid of surgery, so she decided to observe first and continue to exercise conservatively.
On February 18, 2024, the first day of work after the Spring Festival, Ms. Zhang came to the hospital again. Due to the aggravation of urine leakage, which seriously affects normal life, surgery is decided.
A little "sling" solves the "embarrassing cancer" of urine leakage and saves her dignity!
On February 20, Professor Li Xudong performed the "trans** midurethral tension-free suspension" for the patient under spinal anesthesia. There was no discomfort after surgery, and there was no urine leakage when walking on the ground. The recovery is good.
On February 22, he was discharged from the hospital full of joy.
Professor Li Xudong introduced: "Many patients are afraid of the risk of surgery, in fact, the surgical risk of stress urinary incontinence is relatively small, using the principle of sling, a small incision of about one centimeter under the urethra, and then through the implant, through the human pelvic obturator, from both sides of the groin, the artificial sling is pulled out, forming a suspension bridge shape, supporting the middle of the urethra. This surgery has long-term and definite efficacy, and the first choice for stress urinary incontinence (SUI) is the most effective surgical method, and the postoperative effect is immediate, with a rate of 98 to 99% in our expert group. Generally, the surgery takes only 30 minutes to complete, and you can go to the ground the next day after surgery. It is the least invasive operation in clinical surgery at present, the scar is almost invisible after surgery, the degree of sling suspension can be adjusted at will, especially without bladder injury complications, the Department of Urology of the First Affiliated Hospital of Xi'an Jiaotong University has completed 60% of the province's surgical volume. ”
Therefore, patients with stress urinary incontinence, if the conservative effect is poor, and the condition affects normal life, they can also undergo surgery, and the effect of surgery is significant.