What to Expect After Urinary Incontinence Sling Surgery

With the gradual popularization of minimally invasive surgery TVT sling surgery for urinary incontinence, more and more female patients with stress urinary incontinence are receiving mid-urethral suspension surgery, which is currently the most effective (success rate of more than 95%) and safe treatment for female stress urinary incontinence. Despite the fact that there are fewer postoperative complications and low side effects, many patients are not yet very familiar with the general postoperative management and precautions, and briefly introduce the postoperative management and follow up about female Stress urinary incontinence midurethral suspension postoperative management and follow-up. 1, usually TVT surgery hospitalization time is short, the second postoperative day need to check the patient on both sides of the puncture wound for blood seepage, whether it has been scabbed, and pull out the gauze filled into the vagina and the urinary catheter, and ask the patient to drink more water. 2.After the patient urinates for the first time, he/she should find out whether there is any difficulty in urination and whether there is any obvious thinning of the urinary line, and if there is any of the above cases, he/she is recommended to do an ultrasound residual urine examination. 3.According to our experience, about less than 1% of patients may experience dysuria after surgery, which is related to postoperative urethral edema. Oral a-blocker medication can be given, which can significantly relieve dysuria. If still not relieved, can be given about 1 week of indwelling urinary catheter, reduce urethral edema, through this method, the general patient’s symptoms can be relieved. 4, postoperative puncture point may appear discomfort and pain, mostly related to local hematoma and sling pull, hot compresses can significantly reduce pain, generally 1-2 months will be relieved. 5, the patient should return to the hospital 2 weeks after discharge for follow-up, follow-up includes vaginal examination to understand the wound healing, urine flow rate and residual urine volume measurement, to understand the phenomenon of urinary dysfunction. 6, urethral mid suspension patients, any time there is a urinary tract infection or unexplained hematuria, should be examined in time to exclude sling erosion, rejection and other conditions. 7, some patients will appear after surgery, urinary frequency and urgency phenomenon, may be related to the urethra or bladder base by the sling stimulation. Generally, these symptoms will disappear about 1 month after surgery. If the symptoms persist, M-blockers can be taken once a day, one tablet each time, which can effectively relieve urinary frequency and urgency. Avoid coitus for 1 month after surgery to prevent the vaginal wound from splitting. 9, 2 months after the operation, patients are required not to have heavy physical activities, 2 months later, due to the connective tissue embedded in the sling, the sling will not normally slip again.