Potential complications of all of these procedures include obstruction of the outlet from the bladder, which causes difficulty in urination and irritation. The choice of which procedure is the best option is a difficult one and often depends upon whether particular anatomical abnormalities or other factors are causing the incontinence. Patients should ask about their surgeons experience and discuss all options carefully, including success rates on procedures that match their particular problem. A hysterectomy should never be performed as a cure for incontinence. In general, these procedures are effective only for women whose incontinence is caused by urethral hypermobility.
Most procedures require a general or spinal anesthetic and a two-day hospital stay.
The MMMK approach is one of the most time-tested and reliable. It uses a wide abdominal incision and involves elevating the urethra and bladder neck using sutures and anchoring them in nearby cartilage. Transvaginal Needle Suspension. Transvaginal needle suspension is performed through the vagina and a small abdominal incision or through the vagina alone. There are many variations of the procedure, including the Pereyra, Stamey, Raz, and Gittes.