Navigation Links
Surgical 'sling' reduces risk of weakened bladder control after prolapse surgery, U-M study says
Date:6/21/2012

ANN ARBOR, Mich. For many adult women, supporting tissues in and around their vagina weaken to the point where the bladder and other organs descend from their normal position, creating a hernia into the vaginal wall known as pelvic organ prolapse. One in five women will undergo surgery to repair such prolapse.

Vaginal surgery is one way to correct this condition, which often comes with age, but this surgery can also unmask another problem urinary leakage.

Now, new research by the University of Michigan Health System shows that patients who receive a mid-urethral sling a permanent mesh-made hammock placed underneath the urine channel during prolapse repair have less than half the risk of urinary incontinence after surgery. The study's findings were published in The New England Journal of Medicine June 21.

"Pelvic organ prolapse is a common condition among women and can be a major quality of life issue," says lead author John T. Wei, M.D., professor of urology at the University of Michigan Medical School. "Unfortunately, urinary incontinence is a common occurrence following bladder prolapse repair and that incontinence may also be bothersome to the patient.

"Our study found that placement of a mid-urethral sling at the time of bladder prolapse repair can significantly reduce the likelihood of urinary leakage after surgery," Wei adds.

There are different schools of thought on when to use the sling. Some physicians may perform the prolapse repair without a sling, waiting first to see if a patient experiences urine leakage before offering treatment for incontinence. Others insert the sling at the same time as the repair, which adds just minutes to the procedure and avoids the need for a second surgery.

The UMHS study found that inserting a sling at the time of the surgery resulted in less urine leakage three and 12 months later. However, patients with slings experienced higher rates of expected adverse events, including difficulty emptying the bladder, urinary tract infection, bladder perforation and bleeding.

"This gives doctors more data to counsel their patient and gives patients more concrete information on which to base treatment decisions," Wei says. "This is not saying that you have to use a sling but a doctor can now inform women that if they don't put in a sling at the time of vaginal bladder prolapse surgery, 49 percent of the time they will experience urine leakage three months afterwards compared to a 23 percent chance of leakage with the sling. On the other hand, with the sling, there is a slightly higher chance of side effects."


'/>"/>
Contact: Nicole Fawcett
nfawcett@umich.edu
734-764-2220
University of Michigan Health System
Source:Eurekalert  

Related medicine news :

1. Study finds Massachusetts health reform leads to increased inpatient surgical procedures
2. Surgical Residents Often Fatigued, Study Confirms
3. Surgical removal of abdominal fat reduces skin cancer in mice
4. Boston researcher, surgical oncologist receives national award
5. Surgical excision unnecessary in some patients with benign papillomas
6. New surgical technique for removing inoperable tumors of the abdomen
7. Study examines medicare use for Mohs micrographic surgery and surgical excision for skin cancer
8. Nonsurgical Method to Measure Brain Pressure Shows Promise
9. In children born with severe heart defect, surgical management has little effect on neuro outcomes
10. Sling Implant May Cut Risk of Incontinence After Prolapse Surgery
11. Regional anesthesia reduces complications and death for hip fracture patients
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Surgical 'sling' reduces risk of weakened bladder control after prolapse surgery, U-M study says
(Date:6/26/2017)... ... ... Center is now offering various types of dental implants to restore lost teeth. Dental implants ... such as crowns, bridges, or dentures. An implant is placed directly into the jawbone where ... tooth. , Several types of dental implants are available, including: , ...
(Date:6/26/2017)... ... June 26, 2017 , ... The Centers for ... the hiring of Richard Robinson as chief operating officer (COO). In this role, ... a proven track record of simplifying business processes and developing growth strategies to ...
(Date:6/26/2017)... ... June 26, 2017 , ... ... leakage is revolutionizing the way women look and feel about themselves and their ... of female sexual dysfunction and urinary leakage head on with a ground breaking ...
(Date:6/26/2017)... , ... June 26, 2017 , ... ... staff, and consumers are seeing lots of red these days. According to recent ... charges that result from medical coding errors(1). Some studies point to Electronic Health ...
(Date:6/26/2017)... ... June 26, 2017 , ... New patients with ... Angela Cotey, with or without a referral. Dr. Cotey is a trusted dentist who ... preferred tooth replacement option. , Patients with missing teeth in Fitchburg, WI, are encouraged ...
Breaking Medicine News(10 mins):
(Date:6/7/2017)... -- Endo International plc (NASDAQ: ENDP ) ... Joseph R. Goodwin , U.S. District Court Judge for ... , entered a case management order in MDL 2325, ... Litigation (the "MDL") that includes a provision requiring plaintiffs ... on specific causation within one hundred twenty (120) days ...
(Date:6/3/2017)... -- Eli Lilly and Company (NYSE: LLY ... 3 MONARCH 2 study showed that abemaciclib, a ... with fulvestrant, significantly improved progression-free survival (PFS) compared ... hormone-receptor-positive (HR+), human epidermal growth factor receptor 2-negative ... progressed after endocrine therapy (median PFS, 16.4 vs. ...
(Date:5/30/2017)... AVIV, Israel , May 30, 2017 ... stage pharmaceutical Company specializing in the development of ... will present a company overview at three upcoming ... The 7th Annual LD Micro Invitational: ... Date:                     ...
Breaking Medicine Technology: