О - ТVТ method (treatment for stress urinary incontinence)

Stress urinary incontinence is a common condition affecting many people, especially women. Specialists at MC "Dobrobut" provide expert assistance, conduct comprehensive diagnostics, and use modern treatment methods, including the O-TVT technique.

Causes of Incontinence

The development of stress urinary incontinence is associated with the inability of the pelvic floor muscles to cope with the pressure or "stress" exerted by various factors on the bladder. Such factors may include:

• Pregnancy and childbirth periods, especially complicated ones, after which pelvic floor muscles weaken.
• Age and hormonal changes during menopause, which can cause a decrease in the elasticity of the urinary tract tissues.
• Overweight or obesity, leading to additional pressure on internal organs.
• Chronic cough caused by lung diseases or smoking, resulting in a loss of bladder control.

Understanding these causes helps identify risk factors in each specific case and seek timely assistance.

Symptoms

The main symptom of stress urinary incontinence is involuntary leakage of urine when pressure on the bladder increases. This occurs when a person coughs, sneezes, laughs, engages in regular physical activities, or lifts heavy objects. It is especially important to consult a specialist if such leaks interfere with everyday life. Mild symptoms can worsen over time, so it's better not to delay consultation. The doctors at the "Dobrobut" clinic can help comprehensively address incontinence at any stage, although it will take less time and effort in the early stages.

Diagnosis

To diagnose stress urinary incontinence, a doctor conducts an examination, usually including medical history collection, symptom discussion, and a physical examination where the specialist also assesses the strength of the pelvic floor muscles (PFM). Additional laboratory tests may be necessary to identify infections and other issues, as well as urodynamic tests to understand the state of the urinary tract, and urine storage and flow.

Treatment

One of the modern methods of treating stress urinary incontinence available at the "Dobrobut" clinic is the O-TVT technique (obturator tension-free vaginal tape). This minimally invasive procedure involves the installation of a mesh under the mid-urethra to provide support during increased pressure on the pelvic floor, ensuring long-term results.

How the O-TVT Procedure is Carried Out

The technique includes the following steps:

1. Preliminary Preparation: urodynamic studies to confirm the diagnosis of stress urinary incontinence.
2. Anesthesia: usually local, but general anesthesia may be considered if necessary.
3. Incision: 1-2 cm for access to the mid-urethra.
4. Insertion and Adjustment of Tape: the surgeon inserts a pre-prepared mesh tape (O-TVT tape) through the incision; a guide is used for precise placement of the tape without tension, which is crucial for minimizing discomfort and preventing complications. The tape is adjusted to provide support without tension.
5. Suturing: after correct placement of the tape, the incisions in the vagina and skin are closed with self-absorbing stitches.
6. Recovery and Postoperative Care: patients usually recover relatively quickly, with many returning to normal life within a few days.

After the procedure, patients receive care recommendations, exercises to strengthen the PFM, and other rehabilitation methods.

Laser Treatment

In addition to surgical methods, laser treatment for incontinence is possible. This approach provides minimal tissue trauma, requires no prolonged rehabilitation, and significantly eases symptoms. Combining modern methods such as O-TVT with innovative laser procedures can enhance results.

Prevention

Preventive measures can also play an important role in controlling urinary incontinence. They include:

• Special exercises that help strengthen the pelvic floor muscles.
• Weight reduction to decrease bladder pressure.
• Quitting smoking, which reduces the risk of developing chronic cough and subsequent incontinence problems.

The O-TVT procedure generally has a high success rate in treating stress urinary incontinence and is well-tolerated. It is important to see a specialist if any symptoms occur.