Alternative Names Pubo-vaginal sling; Transobdurator sling Risks Risks for any surgery are: Bleeding Blood clots in the legs that may travel to the lungs Breathing problems Infection in the surgical cut or the cut opens up Other infection Risks for this surgery are: Breaking down of the synthetic material used for the sling Changes in the vagina (prolapsed vagina) Damage to the urethra, bladder, or vagina Fistula (connection) between the vagina and the skin Irritable bladder, where you may feel the need to urinate more often It may become harder to empty your bladder, and you may need to use a catheter Urine leakage may get worse
Alternative Names Stones - bladder; Urinary tract stones; Bladder calculi Symptoms Symptoms occur when the stone irritates the lining of the bladder or obstructs the flow of urine from the bladder. Symptoms can include: Abdominal pain , pressure Abnormally colored or dark-colored urine Blood in the urine Difficulty urinating Frequent urge to urinate Inability to urinate except in certain positions Interruption of the urine stream Pain, discomfort in the penis Urinary tract infection
Dysuria (painful urination) Fever Urinary urgency Incontinence may also be associated with bladder stones. Signs and tests The health care provider will perform a physical exam, including a rectal examination. The exam may reveal an enlarged prostate or other problems. Testing may reveal the following: Bladder or pelvic x-ray may show stones. Cystoscopy can reveal a stone in the bladder. Urinalysis may show blood in the urine, crystals, or an infection. Urine culture (clean catch) may reveal infection.
Surgery There are nearly 200 surgical procedures for incontinence. Most are designed to restore the bladder neck and urethra to their anatomically correct positions in patients with stress incontinence. Injections of bulking materials are another option for women and men. The choice of surgical procedure depends on a number of factors, including the presence of bladder or uterine prolapse, the severity of incontinence, and the surgeons experience in performing specific types of surgery. In general, patients should weigh all options carefully. They should discuss the situation with their doctor, and ask about their surgeon's experience. They should also be completely informed about the benefits and risks of the procedures. Patients will need to have a complete diagnostic evaluation before any surgical procedure, including assessment of post-void residual urine volume. Sling Procedures A sling procedure is usually the first-line surgical approach for stress incontinence in women who have eit...
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