New Relief for Stress Incontinence
Gynecare TVT Tension-free Support for Incontinence is used in a
simple, outpatient procedure that usually can be completed within 30 minutes.
The Gynecare TVT device uses a mesh sling to provide support to the middle of
the urethra, the section that is strained during physical activities. The
positioning of the device provides support only when needed and creates a
"tension-free" treatment solution that reduces the risk of
Five-year data gathered in the United States, Europe, and
Australia, and published last year in the International Uro-Gynecology
Journal, has indicated that four to six years after treatment, 85%of the
more than 200,000 women worldwide treated with this procedure no longer suffer
from SUI, and an additional 11% remain significantly improved.
"The biggest advantage of this procedure is that it can be
performed under local anesthesia," says Peters-Gee, explaining that this
allows a doctor to test the ability of the sling to create continence and to
know on the spot that the condition has been treated. "The ability to make
adjustments right then and there also reduces the need for using a urinary
catheter," says Peters-Gee. An additional advantage is that women who may
not be candidates for surgery that requires general anesthesia are candidates
for this procedure.
SUI is the most common form of incontinence. Other urinary
incontinence can be classified as:
- Urge -- an abrupt and uncontrollable desire to void.
- Mixed -- a combination of stress and urge urinary incontinence.
- Overflow -- the involuntary loss of urine resulting from an overfilled
bladder without any corresponding feeling or urge to void.
While most cases of incontinence are not caused by serious
problems, it's important to consult a urologist who can perform a complete
workup, says Milton Krisiloff, MD, former chief of urology at St. John's
Medical Center in Santa Monica, California.
"All cases of incontinence have to be evaluated to rule out
infections, neurological problems, and bladder cancer," says Krisiloff,
hastening to add that 95%of cases are not caused by these
Treatment for these other types of incontinence -- often called
overactive bladder -- includes prescription medications such as Detrol LA,
which works to help control involuntary contractions of the bladder muscle, the
cause of strong, sudden urges. Drug therapy is often paired with behavioral
techniques and bladder training, which together can help patients regain
control over their bladder.