Why Choose the GYN Surgical Institute for your Bladder Procedures?
Our GYN Surgical Institute offers a wide variety of bladder procedures from chronic conditions like Interstitial Cystitis to Urodynamic Diagnostics. This isn’t limited to bladder lefts, injections, pacemakers and vaginal slings. We can perform different surgical techniques to ensure your procedure meets your unique needs.
WHAT IS A CYSTOSCOPY?
Cystoscopy is a test that allows specialist to look at the inside of the bladder using a thin tube with a camera and light on the end, called cystoscope. The cystoscope is inserted into the urethra and slowly advanced into the bladder. This procedure allows specialists to look at areas of the bladder and urethra that usually do not show up well on X-rays. Tiny surgical instruments can be inserted through the cystoscope that allow specialists to remove samples of tissue (biopsy) or samples of urine. Your doctor might order this test if you have urinary problems, such as constant need to urinate or painful urination. Your doctor might also order the procedure to investigate reasons for:
- Blood in your urine
- Frequent urinary tract infections
- Overactive bladder
- Pelvic pain
Urodynamics is a group of diagnostic test procedures to assess how the bladder and urethra are functioning with respect to storing and releasing urine. Generally speaking, urodynamic testing provides precise measurements using sophisticated instruments to assess the bladder’s ability to eliminate urine steadily and completely.
WHAT IF I NEED A URODYNAMIC STUDY?
Urodynamic testing helps physicians determine:
- Any difficulty experienced in starting a urine stream
- The amount of effort put forth to maintain a urine stream
- If the stream is interrupted
- If there is residual urine left in the bladder after urination
WHAT IS A BLADDER PACEMAKER?
For women whose overactive bladders have not been settled by standard therapies, a pacemaker for bladder function can alleviate urinary urgency and leakage problems, dramatically improving quality of life. The surgery itself is done on an outpatient basis, and usually occurs in two stages. In the first stage, patients are given a mild sedative while surgeons use a needle to locate a particular nerve that travels from the base of the spine to the bladder. A tiny electrode is placed near the nerve, which is then attached to a pacemaker worn on a belt outside the patient’s body. The patient wears the device for a period of about two weeks, sending mild electrical pulses to the nerve that helps control erratic bladder function. If the pacing improves the patient’s symptoms, the device is permanently installed in the upper portion of one of the patient’s buttocks, where it comfortably resides for as long as it’s needed. Installation of the device is completely reversible and can be discontinued at any time with no permanent damage to the nerves.
WHAT IS INTERSTITIAL CYSTITIS?
Interstitial cystitis — also called painful bladder syndrome — is a chronic condition defined by bladder pressure, bladder pain and sometimes pelvic pain, ranging from mild discomfort to severe pain. The bladder expands until it’s full and then signals the brain that it’s time to urinate, communicating through the pelvic nerves. This creates the urge to urinate for most people. With interstitial cystitis, these signals get mixed up — the need to urinate is felt more often and with smaller volumes of urine than typical.
SURGICAL PROCEDURES FOR THE TREATMENT OF INTERSTITIAL CYSTITIS INCLUDE:
- Fulguration — This minimally invasive method involves insertion of instruments through the urethra to burn off ulcers that may be present with interstitial cystitis.
- Resection — This is another minimally invasive method that involves insertion of instruments through the urethra to cut around any ulcers.
- Bladder augmentation — In this procedure, surgeons remove the damaged portion of the bladder and replace it with a piece of the colon, but the pain still remains and some people need to empty their bladders with a catheter many times a day.
Collagen Bladder Injections
Collagen implants are one method to help treat incontinence due to a weak sphincter. Collagen is a protein naturally found in the body of animals and humans. Implanting (injecting) animal collagen into the urethra may help close the sphincter and restore most or all control over urine flow. Collagen implants are usually done in the hospital on an outpatient basis. Local, regional, or general anesthesia may be applied during this procedure. The doctor inserts a cystoscope (a thin, tubelike telescope) into the urethra to better see during the procedure. A needle is inserted (either through the cystoscope or along the outside of the urethra) to the sphincter area. The doctor injects collagen through this needle into the wall of the urethra. The injections make the tissue close up, which stops urine from leaking out of the bladder. Collagen is injected around the urethra near the sphincter. The collagen “bulks” the urethral tissue, creating a seal that stops urine from leaking. During urination, the tissue separates naturally to allow urine to flow.
WHAT IS A VAGINAL SLING?
For some women, symptoms of stress incontinence or overactive bladder don’t respond to conservative treatment. When urinary incontinence markedly disrupts life, surgery may be an option. During a sling procedure, the surgeon uses strips of synthetic mesh and tissue (from the patient or a donor) to create a sling or “hammock” under the urethra or bladder neck. The bladder neck is the area of thickened muscle where the bladder connects to the urethra — the tube that carries urine from the bladder. The sling supports the urethra and helps keep it closed — especially when coughing or sneezing — so urine doesn’t leak through.
WHAT IS A BLADDER LIFT?
The bladder lift procedure aims to correct urinary incontinence. Urinary incontinence in women often occurs when pressure is placed on the bladder. This can be caused by urethra that sags and inadvertently opens during everyday activities, such as coughing or sneezing. The bladder lift involves the placement of mesh tape under the urethra to keep it in its normal position – just like a sling. This will prevent urine leakage. This procedure requires anesthetics and most patients are released on the same day.
Botox Bladder Injections
Botox works by relaxing the bladder muscle. It is FDA-approved to treat urinary incontinence due to overactive bladder related to nerve damage from conditions such as multiple sclerosis and spine injury.
More About The Bladder
The urinary bladder is a muscular sac in the pelvis, just above and behind the pubic bone. When empty, the bladder is about the size and shape of a pear.
- Urine is made in the kidneys, and travels down two tubes called ureters to the bladder. The bladder stores urine, allowing urination to be infrequent and voluntary. The bladder is lined by layers of muscle tissue that stretch to accommodate urine. The normal capacity of the bladder is 400 to 600 mL.
- During urination, the bladder muscles contract, and two sphincters (valves) open to allow urine to flow out. Urine exits the bladder into the urethra, which carries urine out of the body.
Common Bladder Disorders
Overactive bladder is marked by a sudden, uncontrollable urge to urinate, which can lead to the involuntary loss of urine, called urge incontinence.
A bladder infection is caused when bacteria travels to the bladder in multiples, a bladder infection is a type of urinary tract infection. In most cases a bladder infection is acute, meaning they occur suddenly. Other cases may be chronic, meaning they recur over the long term. In order to prevent the spread of the infection, early treatment is recommended.
URINARY TRACT INFECTION (UTI)
This infection happens when bacteria enters the urethra opening and multiplies in the urinary tract. Symptoms include an intense urge to urinate even though little comes out, pain in your lower abdomen or back, fever or chills, (which could indicate kidney infection), and cloudy, dark or strange smelling urine.
Symptoms you should not ignore
- Frequent urination
- Urinary Incontinence (Involuntary urinary leaking)
- Painful urination
- Dark Urine
- Blood in urine
If you are experiencing any of those symptoms please call our office to schedule an appointment.