Abdominal Bladder Suspension Care
Learn
- Overview
- What It Is
- Reasons For
- Complications
- What to Expect
- Results
- When to Call a Doctor
Abdominal Bladder Suspension Details
Alternate Names for Abdominal Bladder Suspension:
Burch procedure
Marshall-Marchetti-Krantz procedure
Retropubic suspension
Sling procedure
Tension-free vaginal tape procedure
Transvaginal suspension
Urethral suspension
Your doctor will try to find out why you are leaking urine through some or all of the following:
- Medical history-information about medicines, illnesses, number of pregnancies, and previous surgeries; pattern of leaking and how it is affecting your life
- Urine sample-to look for the presence of infection or other problems
- Physical exam -includes a rectal and vaginal exam
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Additional testing may be ordered to evaluate bladder function and urine flow, such as:
- Urodynamic testing (urine flow studies)-a temporary catheter is placed to study bladder function
- Cystoscopy -a procedure done to view the inside of the bladder
Leading up to surgery:
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Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
- Aspirin or other anti-inflammatory drugs
- Blood thinners, such as warfarin (Coumadin)
- Clopidogrel (Plavix)
- Arrange for a ride home from the hospital.
- Do not eat or drink anything after midnight the night before.
You may receive a spinal anesthetic to numb your lower body. General anesthesia may also be used, in which case you will be asleep.
Description of ProcedureTwo incisions will be made in the vagina. A nylon mesh-like tape will be inserted in these incisions to form a hammock. This will give support to the urethra, closing the urethra during a cough or sneeze. No sutures will be needed to hold the tape in place. The mesh will hold onto the surrounding tissue until scar tissue grows into it.
Immediately After ProcedureAfter surgery, you will be monitored in a recovery room. You will most likely have a catheter in place to drain your urine.
How Long Will It Take?1-1½ hours
How Much Will It Hurt?Anesthesia will block pain during the surgery. After surgery, you may experience some pain or soreness. You will be given pain medicine to relieve discomfort.
Average Hospital StayYou may be able to go home the same day.
Postoperative Care At the HospitalAt first, your urine may look bloody. This will resolve over time. When you are able to empty your bladder completely, the catheter will be removed. You may be up and walking the same day as the surgery.
At HomeAvoid lifting and strenuous exercise for six weeks after surgery. This will allow healing to take place.
To help ensure a smooth recovery, follow your doctor's instructions .
Learn
 What to Expect Find out how long it will take, what they will be doing and what to expect afterwards. |
 Results What are the next steps and other possible tests needed after you have received the results. |
