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Minimally invasive surgical procedures are often used to treat the most common type of incontinence, stress urinary incontinence (SUI). This condition often results from inadequate bladder support from the pelvic muscles or a weak or damaged urethra. Two methods offered at the University of Maryland are the Tension Free Vaginal Tape (TVT) and the TVT Obturator System (TVTO).
The Minimally Invasive Procedure
BPH treatment with the Índigo Laser System is called interstitial laser coagulation. It is a laser procedure used to treat BPH (enlarged prostate). In this minimally invasive procedure, a urologist threads a special Índigo fiber into a cystoscope (a tube) that goes through the urethra and into the prostate. The fiberoptic tip is carefully placed in the area targeted for treatment. Laser energy through the fiberoptic tip is then used to precisely destroy the enlarged part of the prostate. No cutting is involved at all.
The enlarged prostate tissue that is destroyed is absorbed naturally by the body. As the prostate shrinks (over a few weeks), pressure on the bladder and the urethra (the tube that carries urine from the bladder through the penis) is lessened. This decreases the symptoms of BPH.
Blocked prostatic urethra
Laser quickly and safely reduces a precise area of the enlarged prostate. Excess tissue is naturally absorbed by the body
Symptoms usually start to improve within 3 to 4 weeks. Symptoms typically continue to improve over 8 to 12 weeks
The treatment is typically an outpatient procedure, meaning patients are not usually required to stay overnight in the hospital. However, the procedure is now being performed in doctors' offices. BPH treatment with the Índigo Laser System can be completed in 30 minutes or less. And there are many choices of anesthesia available. These include general (where the patient is unconscious), spinal (where the patient has no feeling below a certain point on his body), and local (only the immediate area being treated is numbed). Choice of anesthesia will vary depending on the patient and the size of the prostate.
Benefits Include:
Less pain during recovery time
Avoidance of damage caused by muscle retraction of open surgery
Reduced blood loss
Shorter hospital stays
Quicker recovery times
Less visible scars
Safe as conventional
What Causes SUI ?
Stress incontinence may occur as a result of weakened pelvic muscles that support the bladder and urethra, or because of malfunction of the urethral sphincter. Prior trauma to the urethral area, neurological injury, and some medications may weaken the urethra.
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