Stress Urinary Incontinence, Not A Laughing Matter

More than 25% of women over the age of 50 are affected by stress urinary incontinence, or the involuntary leakage of urine due to coughing, sneezing or other exertion. This leakage may occur at any time and can be the result of something as simple as laughing. There is hope, however, for those who suffer. Various procedures offer relief to patients affected by stress urinary incontinence. Dr. Lloyd-Smith has developed a hybrid procedure that combines the advantages of current medical treatments. He has dubbed the procedure, “Hybrid Sling.”

What is life like for a woman with urine incontinence?  For a younger person it might mean not being able to play softball or other activities with their friends; for an older person it might mean not being able to go to social functions.  It can also involve higher costs with having to change pads during the day.

Prior to surgery, there are medical treatments that should be taken first, for example: standard evaluation (focused history, focused physical, objective demonstration of SUI, assessment of post void residual, Urinalysis). After this, many women proceed with surgery. 

Mesh sling procedures have been in use since 1996. The best mesh is lightweight knitted monofilament polypropylene mesh with a pore size >75 micrometers. The main advantage of mesh is that it is durable. Potential disadvantages include infection, extrusion, erosion and pain. Included are a list of advantages to mesh slings, biologic materials and finally, a list of advantages to the Hybrid Sling.

 Advantages of Mesh Slings: 

  • Tension free
  • Reliable method for insertion
  • Less invasive than open surgery
  • Less obstruction of urethra
  • Fast operative time
  • Outpatient procedure

 Disadvantages:

  •  New urgency                                        7 – 15%
  • Urethral obstruction                              3 -6 %
  • Permanent urine retention                      1.5%
  • Vaginal erosion                                         1- 10%
  • Urethral erosion                                    3- 10%

 Advantages of Biologic Materials:

  •  No erosion
  • Less pain or irritation
  • No extrusion

 Disadvantages:

  •  Longer recovery
  • Bigger incisions
  • Invasive surgery

 Advantages of Dr. Lloyd-Smith’s Hybrid Sling:

  •  Tension free
  • Reliable method for insertion
  • Less invasive than open surgery
  • Less obstruction of urethra
  • Fast operative time
  • outpatient procedure
  • No erosion
  • Less pain or irritation
  • No extrusion

 The hybrid sling incorporates the advantages of existing procedures in an effort to reduce complications and make the surgery easier for the patient.

Content provided by Geoff Lloyd-Smith, MD at Ozarks Community Hospital. Dr. Lloyd-Smith is board certified in urology and a member of the American College of Surgeons, American Urology Association, Royal College of Physicians and the South Central America Urology Association.

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One thought on “Stress Urinary Incontinence, Not A Laughing Matter

  1. Maybe you should go through your files and check on the women that you put the “bad mesh” in and ask them how they are dealing with the complications. Your “newer manner” we think has come too late. You also should familiarize yourself with the cries for help from these women you put the old mesh in. Our bodies are in constant pain and being ripped apart by this mesh. We have been in and out of Doctors offices for help and there are Very FEW if any doctors that will listen and diagnose our problem as a “mesh issue”. Do yourself a favor….READ>>>>READ>>>READ…. http://www.healthcentral.com/incontinence/c/14602/15984/victim-mesh we are people…yes women, but we are people too. God forbid you had this mesh put in under your penis!

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