Single Incision Sling (MiniArc Sling) 1
Female urinary stress incontinence is the involuntary release of urine during any physical activity that puts pressure on your bladder. It’s not the same as general incontinence. This potentially embarrassing condition only happens when the bladder is under immediate physical stress.
However, it is important to know that these are common treatable conditions and you don’t have to live with it. There are many treatment options that can help you gain control over this condition. With proper medical care and treatment, you can regain your quality of life.
There are 2 methods of correcting urinary stress incontinence:
1) The non-surgical methods
- 1.1) Vaginal Pessary is a medical device much like the outer ring of a diaphragm. Therapeutic pessaries are utilized to support the uterus, vagina, bladder, or rectum.
- 1.2) The Kegel Exercise is safe but would have to take 6 months until results would show and does not guarantee full effectiveness.
- 1.3) The Incisionless Laser for correction of Stress Urinary Incontinence. This is a new trend of innovation to Urogynecology. This method is suitable for the women with mild to moderate symptoms, or for women with existing diseases that TVT-O (Tension Free Vaginal Tape Obturator) or Single Incision Sling (MiniArc Sling) surgery cannot be done.
2) The surgical methods
- 2.1) Burch Colposuspension is a surgery suturing the paravaginal tissues (near urethra) to periosteum of pubic bone.
- 2.2) Bulking agent injection, the physician will perform the treatment by filling the collagen to the bladder neck to prevent the premature opening of bladder neck to treat Stress Urinary Incontinence.
- 2.3) The Anterior Posterior Vaginal Repair can temporarily treat the Stress Urinary Incontinence. You are likely to experience the symptom within 5 years after the surgery.
- 2.4) Mid Urethral slings such as Single Incision Sling (MiniArc Sling) or TVT-O is a minimally invasive procedure with an 85%- 90% success rate in treating Stress Urinary Incontinence.
General Notes & Precautions for the Single Incision Sling (MiniArc Sling)
1) Important points about the Single Incision Sling (MiniArc Sling) you should know
- The Single Incision Sling (MiniArc Sling) is the newest and safest trend in surgery for Stress Urinary Incontinence. MiniArc Sling is an innovative, minimally invasive procedure with an 85%- 90% success rate in treating Stress Urinary Incontinence.
- The Single Incision Sling (MiniArc Sling) uses a slim 2.3 mm needle and requires only a single 1.5 cm vaginal incision. MiniArc Sling utilizes American Medical System’s (AMS) proven Type 1 polypropylene mesh with a mid line centering mark that promotes accurate placement under the urethra. AMS mesh facilitates healing, and promotes tissue integration.
- The Single Incision Sling (MiniArc Sling) has limitations and cannot guarantee 100% success due to the fact that there are many factors influencing the surgery’s success, especially for women with Mixed Urinary Incontinence. Women with overactive bladder, she need continuous medications after the Single Incision Sling (MiniArc Sling).
- In case of unexpected surgical results or complications, corrective surgery is an option and will be discussed between you and the surgeon. If correction surgery is necessary because of complications from the surgery, all expenses for services and treatment will no longer be charged to you. However, if the unsatisfactory results occur due to the complication from your non-compliance with the doctor’s orders, you will be charged accordingly.
- The Single Incision Sling (MiniArc Sling) is not allowed for women with immunodeficiency. In addition, the surgery is not recommended unless you have a discussion with your spouse as this may lead to problems and misunderstandings caused by refraining from sexual intercourse for quite a long time.
- The Single Incision Sling (MiniArc Sling) will be performed in our Operating Room for 30 minutes – 1 hour under Intravenous (IV) Sedation. You have to refrain from drinking water or food for at least 6 hours prior to the surgery in order to decrease the risk of aspirating gastric contents during or after the surgery. This complication is very serious, and you need to strictly follow our recommendations. Within the day of the appointment for the surgery, you should not drive yourself after the surgery in order to protect against any accidents caused by dizziness as a result of the sedation.
- The most important preparations you should know before the Single Incision Sling (MiniArc Sling) are that within 1-2 days after the surgery, you should take a rest (refrain from work) and be still to enable the wound to heal faster, you should have little movement as possible to avoid wound disruption for 1 week after the surgery, refrain from some types of exercise affecting pelvic muscle movement, and sexual intercourse for 6-8 weeks after the surgery.
- The Single Incision Sling (MiniArc Sling) is one of the most complex and meticulous cosmetic surgeries performed today. It requires extensive experience, precision, and accuracy to create the optimal results you desire and deserve. Many surgeons have little to no experience with this type of advanced cosmetic surgery. You should research and be conscious of the surgeon’s educational background, training, and practical experience.
2) Before the Single Incision Sling (MiniArc Sling)
- Prior to the Single Incision Sling (MiniArc Sling), you will be invited to a pre-operative consultation room, where you will be evaluated for the surgery. You will be received by a member of the nursing staff in our Center, who will make inquiries regarding your previous medical history as well as arrange for your vital signs such as temperature, respiration, blood pressure and pulse. In case of existing diseases or drug allergies, please inform the medical staff before the consultation. You should prepare and take with you any pills or treatment medications you are currently taking.
- You can possibly have the Single Incision Sling (MiniArc Sling) done on the day of your consultation depending on the availability of Dr. Vitasna’s schedule. Otherwise you may book for a possible surgery on the day of your consultation. This you may do through online pre-consultation and arrangement. It is best to undergo the surgery after your period. It is not advisable to do the surgery just before the period starts or during the period. It is advisable to have a bath or perhaps a shower before you come into the hospital.
- A staff nurse will usher you to a treatment room, where Dr. Vitasna will investigate your health history and conduct both a general check-up and internal check-up. In case you have vaginal fungal or bacterial infection, you should completely treat it before the surgery to avoid wound infection after the surgery.
- After the examination and assessment, you will discuss with Dr. Vitasna about your expectations and concerns. She will then explain to you about the method (or technique), processes of the Single Incision Sling (MiniArc Sling), some potential post-operative risks and complications prior to decision-making. You may also be asked if you have any allergies or any condition that wouldn’t make you a good candidate for the surgery, as well as other additional inquiries.
- After you have chosen the best alternative for your case, prices and quotes will be written down with you. —This ends your consultation.