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I had tension free tape/sling surgery 9 months ago for stress incontinence. I was problem free for almost 8 months. I recently started experiencing episodes of stress incontinence and resumed frequency of urination. I tested negative for Urinary tract infection. Is it possible that even after 8 months of being "dry", the tape may have failed? This is a very tricky and difficult question to answer. First of all, no procedure is ever 100%, in any field. After reviewing the current literature in medical journals, success of the TVT is reported to be anywhere from 66-92%. There are many compounding factors that may be related to success or failure. Some of the patient characteristics that may cause early failure are being overweight, post-menopausal without estrogen replacement, previous incontinence surgery, and intrinsic sphincter deficiency to name a few common situations. It is possible that the stress incontinence has returned. It is very important to see the physician that di...
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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