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Incontinence & Overactive Bladder Health Center

Bladder Suspension

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Types of Bladder Suspension Surgery continued...

Laparoscopic retropubic suspension surgery has been around since the early 1990s. It uses a smaller incision than the open procedure. However, some studies show that laparoscopic bladder suspension results in a higher complication rate, and that the open technique tends to produce higher cure rates. Recent research suggests that these procedures could allow for a speedier recovery and offer other advantages, but more research is needed to check long-term safety and effectiveness.

Needle bladder neck suspension surgery may be done through the abdomen or vagina. However, it does not appear to work as well as stress incontinence surgeries that are done through the abdominal wall.

Sling surgery uses a piece of body tissue, called fascia, or a man-made material to create a sling or hammock-like structure that cradles the sagging bladder neck. This supports the bladder neck and urethra. You can use your own tissue for the surgery (if so, it is removed from your abdominal wall) or donated tissue.

You and your doctor will discuss which procedure is best for you. Your doctor will consider the following factors when choosing your procedure: Other health conditions you may have, the anatomy of your urinary tract and surrounding structures, and the surgeon's experience. Open retropubic suspension surgery and sling surgery require a hospital stay. The insertion of mesh slings to support the urethra can be done as an outpatient procedure.

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