Bard AJUST Female Sling

The highly successful mid-urethral sling (Bard AJUST female sling) is a short and relatively painless procedure which provides excellent results in terms of stress urinary incontinence. The procedure allows the patient to resume most activities within a few days and is available at False Creek Healthcare in Vancouver.

Stress Urinary Incontinence and its Symptoms

Stress Urinary Incontinence is the most common type of incontinence and occurs when the muscles and tissues of the urethra become weakened and it can no longer be controlled properly, which can lead to urine to leaking out of the body involuntarily. Incontinence can have a substantial impact on quality of life, restricting social activities and causing a general sense of discomfort. Stress incontinence is triggered by pressure (stress) on the abdomen, commonly during physical activity such as coughing, sneezing, laughing and exercise.

What Causes it?

Stress Urinary Incontinence affects women of all ages including young mothers, women in menopause, and senior citizens. It is not, however, an inevitable part of aging. It can have a number of causes, including:

Pregnancy and natural childbirth: Pregnancy and natural childbirth put a lot of stress on a woman’s pelvic muscles and ligaments, the impact of this stress can become increasingly evident with aging.

Strenuous activity or exercise: Vigorous exercise or any form of physical straining can put additional stress on the pelvic area, particularly if the pelvic and urethral muscles are already somewhat weakened.

Menopause hormone changes: As hormonal balance changes through the various stages of menopause, the muscles that control urine leakage may become weakened.

Prior gynecologic surgeries: Certain types of gynecologic surgery can have an effect on the overall strength of pelvic and urethral muscles, resulting in difficulty holding urine when pelvic muscles are strained or stressed.

The Procedure

A surgical approach that is widely used today to restore continence involves the implanting of a urethral sling. A sling is a narrow strip of material that the surgeon positions under the urethra to support its natural tissues, allowing it to function as intended. The implanted sling acts much like a hammock, providing extra support of the urethra to prevent accidental leakage.

The Ajust™ Single-Incision Sling allows your doctor to place the sling through only a single vaginal incision. The implant is made from a synthetic mesh material that is uniquely knitted to provide exceptional strength and durability, providing support required for urethral tissues
after the procedure.

In most cases, a urethral sling can be implanted within about 30 minutes. Placement of a sling is a minimally invasive surgical procedure, often requiring only a single vaginal incision. Your physician will choose the anesthesia best suited to your condition and general health: either local, regional, or general anesthesia. The sling is inserted under the urethra to provide the necessary support to prevent involuntary leakage of urine, and it then self-anchors securely in place.

Urethral slings have been used safely in medical procedures for decades and despite the risk of complications, the use of a urethral sling for stress urinary incontinence has been shown to be an effective, long-term method of repair. The sling incorporates easily and permanently into your own tissues and acts to strengthen and restore continence function, helping reduce the risk of a recurrence. They have been used successfully in hundreds of thousands of patients in the U.S. Each patient is unique, however, and your physician can give you a more specific view of what your expectations should be.

What to Expect

You may be able to return home in just a few hours after the procedure is performed. All incisions will be small and should heal quickly. Your physician will most likely advise you that for approximately four to six weeks, you should avoid sexual intercourse, heavy lifting and strenuous exercise. Your physician will provide you with specific information on how to care for yourself after the procedure.

Next Steps

If you are ready to discuss your male sling surgery needs with our board certified surgeons, request a consultation today. During your consultation your patient care adviser will discuss:

  • Your medical history
  • Preparing for surgery
  • Potential risks and complications

 


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