Surgical Interventions For Stress Urinary Incontinence in Dubai

 While nonsurgical approaches can be effective in treating stress urinary incontinence (SUI), some people may need surgery to achieve optimal results.

Intrauurethral Suspension Procedures:

Intrauurethral Suspension Procedures are the most common surgical procedures for Stress urinary incontinence in Dubai. During these procedures, a band, usually made of synthetic material or human tissue, is placed under the urethra to support the urethra and improve bladder control. 

The harness works like a hammock and helps close the urethra during bladder-stress activities. Sling procedures are minimally invasive and can be performed using a variety of surgical techniques, including
retropubic, transobturator, and single incision slings.

Pubic Vaginal Slings:

pubic vaginal slings, also called autologous slings, use the patient's own tissue, usually harvested from the abdominal wall or thigh, to provide support beneath the urethra. The strap attaches to the pelvic structures for added support and better bladder control. Pubic-vaginal noses may be recommended for those who have failed conservative treatment or who require additional support due to severe SUI.

Bulks:

Bulks are injectables that can be used to fill the tissues around the urethra, narrowing the canal and improving urinary control. These substances, such as collagen or synthetic materials, are injected into specific areas of the urethra to provide extra support and reduce urine leakage.

Filler injections are a minimally invasive option and may be suitable for people with mild to moderate SUI who prefer a temporary solution.

Bladder Neck Suspension Procedures:

bladder neck suspension procedures involve repositioning and fixation of the bladder neck and urethra to provide better bladder support and control. These procedures are usually performed through an abdominal incision or laparoscopic approach. 

Bladder neck suspension procedures are often recommended for people with SUI caused by a collapse or weakening of the bladder neck and urethra.

Artificial Urethral Sphincter:

 The Artificial Urethral Sphincter is a device used to treat severe cases of SUI that are unresponsive to other procedures.

The device consists of a cuff that surrounds the urethra, a pump implanted in the scrotum or labia, and a balloon reservoir that is placed in the abdominal cavity. The cuff is inflated to put pressure around the urethra to prevent urine leakage. 

The person can manually deflate the cuff with a pump to allow urination. The placement of an artificial urethral sphincter requires surgical implantation and constant monitoring.

It is important to note that, like any surgical procedure, surgery for SUI carries potential risks and complications. These may include infection, bleeding, urinary retention, pain, or complications specific to the surgical technique chosen.

In conclusion, surgical interventions play an important role in the treatment of stress urinary incontinence. Intraurethral sling procedures, pubovaginal slings, fillers, bladder neck suspensions, and artificial urinary sphincters offer a variety of surgical options to treat the underlying anatomical causes of SUI. 

It is important to consult a urologist, urogynecologist, or pelvic floor specialist to determine the most appropriate surgical approach based on a person's specific condition and goals.