|
|
IVS
Dr Asha Pahuja is a member of “Association of Ambulatory Vaginal and Incontinence Surgeons(AAVIS) in Australia” She did special training on Intra –Vaginal Slinglasty Operations.
Intra-vaginal Slingplasty (IVS) is performed to correct urinary and some cases of faecal incontinence. This occurs because the pubo-urethral ligament, which supports the urethra to the pubic bone, becomes stretched and loose due to childbirth and changes of aging. It cannot then adequately counter-act the backward pull of the pelvic muscles, which open or funnel the urethra when coughing or straining, and this leads to stress incontinence. In addition the looseness of the urethral supports can lead to premature activation of the stretch-receptors in the bladder, activating the micturition reflex, causing frequency and urgency of urination. This is made worse by an associated prolapse in the middle compartment of the vagina, which presents as a bladder prolapse (cystocele).
The operation places a polypropylene tape from the abdominal skin immediately above the pubic bone, down behind the bone on one side of the bladder neck, and up the other side. There follows a fibrous reaction around the tape, producing a new collagen ligament which supports the midpoint of the urethra, and replaces the weakened natural ligaments. The vagina is then re-attached to the pelvic muscles and the external urethral ligaments tightened.
This basic operations has many variations.
For consultation, conact Dr. Asha Pahuja
|
|
