A 40-year-old female suffers from stress urinary incontinence, KIMS Saveera doctors treat with surgery

Anantapur, 15th April 2023: Leakage of urine occurs while performing physical activity that increase abdominal pressure, such as coughing, sneezing, laughing, or exercise. This is called Stress urinary incontinence (SUI) in medical terminology. A 40-year-old woman was suffering from this problem for 4 years. She was successfully operated on by KIMS Saveera doctors and got relieved. Surgeries for stress urinary incontinence are usually done by senior urologists and in institutes in metro cities like Bangalore or Hyderabad.  But now, for the first time, they are done here in Rayalaseema too. Dr. Narendranath Lokare, Consultant Urologist at  KIMS Saveera Hospital, Anantapur explained the details thereof.

‘‘A 40-year-old woman hailing from Guntakallu of Anantapur district was suffering from SUI for four years. She underwent a hysterectomy 15 years back. But, there is no history of obstructive LUTS. The patient visited many senior urologists elsewhere and was put on conservative treatment. In February 2023 patient consulted us and on thorough clinical and cystoscopic examination Stress urinary incontinence was diagnosed.

We planned mid-urethral sling repair with synthetic mesh. Recently, we performed TOT repair (mid-urethral sling repair) successfully first of its kind here in Rayalaseema and also at our hospital. After one day of surgery, we removed the Foley catheter and the patient voided well. There was no urinary incontinence postoperatively. The patient was discharged on the second day of surgery''.

Dr. Narendranath explained the problem. ‘‘Stress urinary incontinence (SUI) is a leakage of urine during moments of physical activity that increases abdominal pressure, such as coughing, sneezing, laughing, or exercise. SUI is the most common type of urinary incontinence in women. SUI can happen when pelvic tissues and muscles, which support the bladder and urethra, become weak and allow the bladder "neck" (where the bladder and urethra intersect) to descend during bursts of physical activity. This descent can prevent the urethra from working properly to control the flow of urine. SUI can also occur when the sphincter muscle that controls the urethra weakens. The weakened sphincter muscle cannot stop the urine flow under normal circumstances and when there is an increase in abdominal pressure. The Weakness may occur from pregnancy, childbirth, aging, or prior pelvic surgery. Other risk factors for SUI include chronic coughing or straining, obesity, and smoking."