Type of Surgery

Information

Doctor Certified

Last updated: 11/24/2009

Morbidity/Mortality

Urologic surgery has inherent morbidity and mortality risks related primarily to general surgery, with lung conditions, blood clots, infections, and cardiac events occurring in a small percentage of surgeries, independent of the type...

of procedure. In addition, the American Urological Association (AUA) has concluded that needle suspension surgery has a number of complications related directly to suturing in the suprapulic area. These complications include:

  • a 5% incidence of bladder injury
  • urethral injury, although rare, in a small percentage of cases
  • bleeding, with an incidence of 3–5%, primarily from the area below the pubic area
  • nerve entrapment (8–16% of cases) due to lateral placement of the sutures into the fascia at the back of the suprapubic area (This has improved with a change in the placement of sutures.)
  • wound infections in about 7% of cases, with higher rates among those with diabetes or obesity

These operative complications, coupled with the procedure's high rate (10%) of reported pain after surgery, and its relatively high rate (5%) of urinary retention lasting longer than four weeks, have resulted in needle neck suspension having a limited role in the management of stress urinary incontinence.



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There are several reasons why one may have urinary incontinence or the inability to prevent urination from occurring. One type of urinary incontinence is stress incontinence which is discussed in this video. Surgical treatment for this problem is sometimes necessary and a minimally invasive approach is described.

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Other Information

Needle bladder neck suspension, also known as needle suspension, or paravaginal surgery, is performed to support the hypermobile, or moveable urethra using sutures to attach it to tissues covering the pelvic floor. Of the three popular surgical procedures for urethral instability and its results in urinary stress incontinence, needle bladder neck suspension is the quickest and easiest to perform. It has many variants, such as the Raz, Stamey, modified Pereyra, or Gattes procedures, but its long-term results are less impressive than other, more extensive, anti-incontinent surgeries.


From http://www.answers.com/topic/needle-bladder-neck-suspension

Other Information

In 2000, the estimated number of doctor visits and outpatient hospital visits by adults aged 20 or older with “calculus of kidney and ureters” as a listed diagnosis was of 2 million visits with urolithiasis as the primary diagnosis.


From: NKUDIC

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