Women s & Children s Directorate The TVT Operation - a guide for patients
|
|
- Rebecca Bryant
- 5 years ago
- Views:
Transcription
1 Women s & Children s Directorate The TVT Operation - a guide for patients This leaflet was written for women who are considering having a TVT operation. If you have any questions that aren't answered by this leaflet then please ask a doctor or nurse who will do their best to answer them. What does TVT stand for? It can stand for either Tension-free Vaginal Tape or Trans-Vaginal Tape. These are identical operations. Who might benefit from a TVT operation? It is performed to treat stress incontinence, a condition where women leak urine from their bladder with certain activities eg. coughing, sneezing, laughing, lifting, walking or with sport. What causes stress incontinence? Urine is stored in the bladder and empties through the urethra. Stress incontinence happens when the urethra is weak. Such weakness may be caused by damage to the muscles and nerves of the pelvic floor, and this is rare in women who have not had children. This weakness may be aggravated by the menopause, a chronic cough, heavy lifting and being overweight. Is a TVT operation suitable for all women with stress incontinence? It is suitable for those women who leak because the mechanism for holding urine at the base of the bladder is weak. Occasionally women have stress incontinence that is caused by an overactive bladder (see below) and these women are unlikely to benefit from an operation. The cause of urine leakage can usually be diagnosed by performing urodynamics, a test that is carried out on all women before a TVT operation is performed. A TVT operation is usually not recommended for a woman who may want to have a further pregnancy, as this may cause the woman to become incontinent again. How is urodynamics performed? This is a simple outpatient test where the pressure inside the bladder is measured whilst filling the bladder through a small tube. A separate information leaflet is available for this test. Are other treatments available for stress incontinence? Yes. Many women will find that they leak less often if they perform pelvic floor exercises. You may not be sure that you are performing these exercises correctly, and your doctor or nurse can check to make sure you are. Some women find to difficult to contract the correct muscles and can benefit from seeing a physiotherapist. For most women it is simply a matter of remembering to do enough exercises every day. A separate information leaflet is available about pelvic floor exercises. Some women find that putting a tampon in the vagina can help prevent leakage during sport, and this must be changed frequently like any tampon. Women whose body mass index is greater than 30kg/m 2 should be advised to lose weight according to national guidance. Weight loss can improve leakage and make any surgery more safe. There are some women, particularly those with severe leakage and/or a large vaginal prolapse, who are unlikely to benefit from pelvic floor exercises. Your doctor/ nurse will advise you if this applies to you. A drug called Duloxetine may be used to treat stress incontinence. Approximately 20% of women who take this will experience a moderate/great improvement in their leakage. Side-effects are fairly common with this drug and commonly include nausea and sleep disturbance. Any benefit from taking Duloxetine is lost when you stop taking it.
2 Are there any other operations for stress incontinence? Yes. A peri-urethral injection involves injecting bulking agents into the urethra (the tube along which urine flows, from the bladder to the outside). Although this is a simpler operation and has fewer risks than a TVT, the success rate is lower and the procedure often needs repeating to maintain the benefit. This procedure is sometimes advised in frail women or women desirous of more children, for whom the risks of a TVT are more significant. How is a TVT operation performed? The TVT operation works by supporting the middle of the urethra with a tape. The tape is made of Polypropylene and has a long needle at either end. A 3cm incision is made in the vagina underneath the urethra and two 1cm incisions are made at the bottom of the abdomen beneath the pubic hair line. The needles are passed upwards from the vagina so that the tape comes to lie underneath the urethra. A telescope (cystoscope) is inserted through the urethra into the bladder to make sure that there is no bladder injury. The tape is then placed in the correct position and the needles are removed. Dissolving stitches are placed in the incisions the abdominal stitches dissolve in around 2 weeks, the vaginal stitches take around 6 weeks. Diagram showing the tape in position. This picture is taken from the maker of the tape Gynecare, who are a division of Johnson & Johnson Medical Ltd, PO Box 408, Bankhead Ave, Edinburgh EH11 4HE What type of anaesthetic is used? The operation can be performed using either a general anaesthetic, a spinal anaesthetic or local anaesthetic (you would be awake with these latter two types of anaesthetic). Your surgeon may have a preference, based on his/her experience and your general medical condition. You may have a preference and, where feasible, we will try and accommodate your wishes. Will a cough test be used? A cough test can be used to judge how to position the tape when a woman is awake during the operation. It has not been shown to improve the success of the operation and many surgeons prefer to use their own experience to position the tape. How successful is the TVT operation? The answer to this question is not that simple because there many different ways to measure success. Doctors cannot agree which is the best way to measure success but a good method is to ask a woman whether she is satisfied with the operation. This is known as Patient Satisfaction and
3 the best scientific study to date has shown a satisfaction rate of 85%, measured 6 months after surgery. However, the satisfaction rate will be lower in women who have had previous surgery for stress incontinence or who have other bladder problems such as an overactive bladder or difficulty emptying their bladder. When will I go home after the operation? Most women can go home on the day of the operation. You will be able to go home when the nurses are happy that you are emptying your bladder well, any vaginal bleeding is not heavy, and any discomfort is controlled. The nurses will follow a protocol to determine whether you are emptying your bladder well enough to go home. Should you be unable to pass urine then the nurse will insert a catheter and send you home with a plan to remove the catheter the following week. How will I feel after the operation? The effects of the anaesthetic have usually worn off after 24 hours. You will have discomfort at the operation site and will need to take painkillers for several days. Paracetamol and/or Ibuprofen (Nurofen) are usually sufficient. Should the stitches be removed? The 2 stitches in the pubic area will dissolve after around 6 weeks. However, they may cause irritation during this time and it is usually preferable to have them removed by your GP s nurse after 5-7 days. The stitches within the vagina do not need to be removed. When can I return to my usual routine / work? Most people need 2 weeks off work. If your job is strenuous, then you may need 4 weeks. You should avoid heavy lifting for 6 weeks. When will I able to drive? You may need to stop driving for days. If you feel safe and able to drive after one week then you can start When can I play sport? After 6 weeks When can I resume sexual intercourse? After 6 weeks How long will the operation work for? As the tape is permanent, it is likely that the operation will remain successful in the long term. Is it a safe operation? All operations have risks and the TVT operation is no exception. It is not the intention of this leaflet to make you afraid of surgery but it is important nowadays that you are fully informed about possible risks of operations. The following list is fairly complete but if you have anything that you wish explaining in greater detail, please speak to your doctor or nurse. Risks from the anaesthetic. Modern general anaesthesia is fairly safe. If you have a spinal anaesthetic, the anaesthetist will explain about its risks. Bleeding during / after the operation. Some vaginal bleeding is common afterwards and may take several days to settle. Heavy bleeding is rare, affecting only about 1 in 200 women and an operation through the abdomen to stop this bleeding may need to be performed in this situation. Injury to the bladder. A needle is passed through the bladder wall in about 2% of operations. As long as this is recognised during the operation, this is not a serious problem as the bladder heals very well. A catheter would usually be left in the bladder for a few hours and you can normally go home the same day. On rare occasions a catheter may need to be left in for 1 2 weeks.
4 Bladder infection (cystitis). This is not uncommon and treatment with a course of antibiotics is usually effective. Rarely, women may get recurrent cystitis after the operation and the cause of this would need to be investigated. Infection at the site of the incisions. Some soreness or discharge from the site of the incisions is fairly common and is often not due to an infection. It may need treatment with antibiotics. Inability to empty the bladder properly (voiding difficulty). This is fairly common in the first few days after the operation but usually settles as any bruising and swelling around the tape subsides. Some women have a higher than usual risk of voiding difficulty eg. if they have had previous surgery for stress incontinence or if the urodynamics test shows that they do not empty their bladder quickly, completely or with good pressure before the operation. You will be told if this applies to you. If the bladder is still not emptying properly after one week then it is possible to stretch the tape under a general anaesthetic and this is usually effective. Despite this, about 1-2% of women will have a long-term voiding difficulty and this can be troublesome, causing frequent cystitis and urine leakage. This situation can usually be improved by either dividing the tape or by passing a catheter into your own bladder 2-3 times per day. Overactive bladder. Approximately 10% of women who have not been found to have an overactive bladder before the operation will develop it afterwards. This can cause urgency (a strong desire to empty the bladder) and urge incontinence (where leakage occurs before getting to the toilet). These symptoms can usually be improved with tablets. Women who are known to have an overactive bladder before the operation may find that their urgency and urge incontinence get better or worse after surgery. Such women often need to take tablets for their overactive bladder after surgery. Clots in legs and lungs. These are potentially serious complications of any operation but the risk is low because of the speedy mobilisation following surgery. Tape exposure / erosion. On rare occasions, a portion of the tape in the vagina may become exposed. This can be treated by a small operation to remove the visible portion of tape. Very rarely the tape can erode into the bladder or urethra and the treatment of this problem is more complicated. Chronic pain. A small proportion of women develop chronic pain in the region of the tape after surgery. At Darent Valley the incidence of troublesome chronic pain is around 1 in 200. We do not use the transobturator technique which is associated with a greater likelihood of pain. Women who have chronic pain in the pelvic region before surgery and those with chronic pain syndromes elsewhere are more likely to develop chronic pain after a TVT. These women should be very cautious before having a TVT. Should you develop chronic pain then it can be treated with steroid injections, physiotherapy or removal of the tape. Although removal of small portions of the tape is quite easy, removal of the whole tape is very difficult and does not always result in complete relief of pain. What will happen if I still leak urine after the operation? Small amounts of urine leakage are not uncommon in the weeks after the operation, especially when lifting. This usually settles down, but if the leakage is heavier or more persistent, you may have a urinary infection or an overactive bladder. If a urine sample does not show any infection and an ultrasound scan shows that you are emptying your bladder completely, you may be given a course of tablets that treat overactive bladder. Alternatively, the urodynamics test may be repeated to get more information about the cause of any leakage. If the cause is still weakness at the bladder base, then treatment options include a Peri-urethral injection (see above) or repeating the TVT operation. Post-Operative Follow-Up Please be aware that the post-operative follow up for a TVT will be by telephone 6-8 weeks following your surgery. You will be sent an appointment letter that will give you the time and date for your
5 telephone consultation with a Urogynae Specialist Nurse. However, if you are experiencing any concerns post-operatively then contact your GP or your Consultant s Secretary. BSUG database The Darent Valley Hospital Urogynaecology Unit has been accredited by the British Society or Urogynaecology (BSUG). This means that we adhere to the highest standards of care and monitor the results of our operations carefully. Prior to a TVT you will be asked to complete a short questionnaire about the severity of your urine leakage and sign a form to allow anonymised information about your operation and its outcome to go on the BSUG database. You will receive a follow-up questionnaire around 6 months after surgery which should be returned in a pre-paid envelope. The database is very secure and allows us to monitor our outcomes and optimise the care of future patients. Your co-operation with this process is valued very highly by the whole team. Where can I get further information? Information of a general nature about continence issues can be found at: or phone Date: August 2017 Review: August 2020
Tension Free vaginal tape. Mrs Ami Shukla, Consultant Urogynaecologist Northampton General Hospital Northampton NN1 5BD
Tension Free vaginal tape Mrs Ami Shukla, Consultant Urogynaecologist Northampton General Hospital Northampton NN1 5BD What is a TVT procedure? A TVT (Tension Free Vaginal Tape) procedure is an operation
More informationSurgical treatment of urinary stress incontinence with tension free vaginal tape
Surgical treatment of urinary stress incontinence with tension free vaginal tape Gynaecology department 01935 384 385 yeovilhospital.nhs.uk Many surgical operations are available for the treatment of
More informationTension-free Vaginal Tape (TVT)
Page 1 of 7 Tension-free Vaginal Tape (TVT) Introduction This leaflet will provide you with basic information about the Tension--free Vaginal Tape (TVT) procedure. What is a TVT? TVT is an operation to
More informationPatient Information Leaflet
Patient Information Leaflet MID-URETHRAL SLING OPERATION TENSION-FREE VAGINAL TAPE (TVT) TRANSOBTURATOR TAPE (TOT, TVT-O) This information leaflet has been developed to help your understanding of what
More informationPatient Information. Tension Free Vaginal/ Obturator Tape (TVT) Royal Devon and Exeter NHS Foundation Trust
Tension Free Vaginal/Obturator Tape (TVT) Royal Devon and Exeter NHS Foundation Trust Patient Information Tension Free Vaginal/ Obturator Tape (TVT) Reference Number: CW 08 011 003 (version date: September
More informationUrethral Bulking to treat Stress Urinary Incontinence. Patient Information Leaflet
Urethral Bulking to treat Stress Urinary Incontinence Patient Information Leaflet About this leaflet The information provided in this leaflet should be used as a guide. There may be some variation in how
More informationVaginal Tapes to Treat Stress Incontinence. Patient Information
Vaginal Tapes to Treat Stress Incontinence Patient Information Author ID: JD Leaflet Number: Gyn 044 Version: 6 Name of Leaflet: Vaginal Tapes to Treat Stress Incontinence Date Produced: May 2017 Review
More informationSurgery for vaginal vault prolapse. Patient decision aid
Surgery for vaginal vault prolapse Patient decision aid? i What is vaginal vault prolapse? Vaginal vault prolapse happens when the top of the vagina (the vault) slips from its normal position and sags
More informationBulkamid. Patient Information. Obstetrics & Gynaecology Department
Bulkamid Patient Information Obstetrics & Gynaecology Department Author ID: JD Leaflet Number: Gyn 050 Version: 5 Name of Leaflet: Bulkamid Date Produced: November 2017 Review Date: November 2019 Bulkamid
More informationPeriurethral bulking injections for stress urinary incontinence
n The Leeds Teaching Hospitals NHS Trust Periurethral bulking injections for stress urinary incontinence Information for patients Leeds Centre for Women s Health Urinary incontinence is the involuntary
More informationInjection of Urethral Bulking Agents
Injection of Urethral Bulking Agents Department of Gynaecology Patient Information What are urethral bulking agents? Urethral bulking agents are substances that are injected to support the bladder neck.
More informationSurgery for stress incontinence:
Surgery for stress incontinence: information for you aashara Published February 2005 by the RCOG Contents Key points About this information What is stress incontinence? Do I need an operation? What operation
More informationBlue Ridge Urogynecology
Surgery for Stress Urinary Incontinence Surgery has proved to be a very effective treatment for stress incontinence. The best surgical procedures improve or cure the incontinence in 85 to 90 percent of
More informationLaparoscopic Sacrohysteropexy
Professor Christian Phillips BSc Hons BM DM FRCOG Consultant Gynaecologist and Urogynaecologist Laparoscopic Sacrohysteropexy What is a prolapse? Uterine prolapse is a bulge or lump in the vagina caused
More informationPelvic Floor Muscle Exercises
INFORMATION FOR WOMEN OF ALL AGES Pelvic Floor Muscle Exercises How to exercise and strengthen your pelvic floor muscles ASSOCIATION OF CHARTERED PHYSIOTHERAPISTS IN WOMEN S HEALTH This leaflet is supported
More informationGynaecology Department Patient Information Leaflet
Vaginal repair Gynaecology Department Patient Information Leaflet Introduction This leaflet gives information about vaginal repair surgery used to treat a vaginal prolapse. The leaflet explains what a
More informationUrodynamic Tests. Department of Gynaecology. Patient Information
Urodynamic Tests Department of Gynaecology Patient Information What are urodynamic tests? Urodynamic tests assess the dynamic function of the lower urinary tract. The tests assess 3 functions; The ability
More informationUterus (Womb) Rectum. Another problem could be the sensation of something coming down at the birth canal or back passage (prolapse).
Pelvic Floor Exercises for Women Physiotherapy Department Continence Service Introduction This leaflet tells you how to exercise and strengthen your pelvic floor muscles. These muscles form a broad sling
More informationPromoting Continence with Physiotherapy
A Common problem for Men and women Promoting Continence with Physiotherapy This leaflet contains information about physiotherapy advice and treatment for anyone with bladder and bowel problems. This may
More informationFamilies Unit Division
Families Unit Division Sub-Urethral Tape Procedure Operations Patient Information Leaflet Options available If you d like a large print, audio, Braille or a translated version of this leaflet then please
More informationBurch Colposuspension
Burch Colposuspension Department of Gynaecology Patient Information What is is botulinum Burch colposuspension? toxin A? The operation is intended to support the bladder neck, which is the area between
More informationBladder neck bulking injection. Information for patients Gynaecology
Bladder neck bulking injection Information for patients Gynaecology What is a bladder neck bulking agent? It is a treatment option for stress urinary incontinence in women. What are the benefits of this
More informationTreating your abdominal aortic aneurysm by open repair (surgery)
Patient information Abdominal aortic aneurysm open surgery Treating your abdominal aortic aneurysm by open repair (surgery) Introduction This leaflet tells you about open repair of abdominal aortic aneurysm,
More informationAn operation for stress incontinence - transobturator tape (TOT, TVT-O)
INFORMATION FOR PATIENTS An operation for stress incontinence - transobturator tape (TOT, TVT-O) We advise you to take your time to read this leaflet. If you have any questions please write them down on
More informationAn operation for stress incontinence - tension free vaginal tape (TVT) - retropubic tape
INFORMATION FOR PATIENTS An operation for stress incontinence - tension free vaginal tape (TVT) - retropubic tape We advise you to take your time to read this leaflet. If you have any questions please
More information1) What conditions is vaginal mesh used to commonly treat? Vaginal mesh is used to treat two different health issues in women:
Vaginal Mesh Frequently Asked Questions 1) What conditions is vaginal mesh used to commonly treat? Vaginal mesh is used to treat two different health issues in women: a) stress urinary incontinence (SUI)
More informationGynaecology Department Patient Information Leaflet
Vaginal pessaries Gynaecology Department Patient Information Leaflet Introduction We have developed this information leaflet to answer some commonly-asked questions about what a vaginal pessary is, how
More informationSacrocolpopexy. Department of Gynaecology. Patient Information
Sacrocolpopexy Department of Gynaecology 2 Patient Information What What is is a a sacrocolpopexy? This is an operation carried out to correct prolapse of the vaginal vault in patients who had a hysterectomy.
More informationLaser vaporisation of prostate (Green light laser prostate surgery): procedure-specific information
PATIENT INFORMATION Laser vaporisation of prostate (Green light laser prostate surgery): procedure-specific information What is the evidence base for this information? This leaflet includes advice from
More informationProstate surgery. What is the prostate? What is a TURP? Why is a TURP operation necessary? Deciding to have a TURP operation.
What is the prostate? The prostate is a gland about the size of a walnut that is only present in men. It is located just below the bladder and surrounds the urethra, the tube through which urine flows
More informationTrans urethral resection of prostate (TURP)
Trans urethral resection of prostate (TURP) Information for patients Urology PROUD TO MAKE A DIFFERENCE SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST What is the prostate? Only men have a prostate
More informationBard: Continence Therapy. Stress Urinary Incontinence. Regaining Control. Restoring Your Lifestyle.
Bard: Continence Therapy Stress Urinary Incontinence Regaining Control. Restoring Your Lifestyle. Stress Urinary Incontinence Urinary incontinence is a common problem and one that can be resolved by working
More informationARTIFICIAL MESH REPAIR FOR TREATMENT OF PELVIC ORGAN PROLAPSE
Pelvic Floor Unit / Department of Gynaecology Ward 17, Singleton Hospital, Sketty, Swansea, SA2 8QA 01792 205666 Secretary Direct Line: 01792 285688. Fax: 01792 285874 ARTIFICIAL MESH REPAIR FOR TREATMENT
More informationBladder neck incision: procedure-specific information
PATIENT INFORMATION Bladder neck incision: procedure-specific information What is the evidence base for this information? This leaflet includes advice from consensus panels, the British Association of
More informationObesity and its effects on the pelvic floor: obesity and the risk of gynaecological surgery
Obesity and its effects on the pelvic floor: obesity and the risk of gynaecological surgery Information for patients from the British Society of Urogynaecologists (BSUG) You have been offered this information
More informationHOLEP (HOLMIUM LASER ENUCLEATION OF PROSTATE )
HOLEP (HOLMIUM LASER ENUCLEATION OF PROSTATE ) What does the procedure involve? Removal of obstructing prostate tissue using a telescope and a laser. What are the alternatives to this procedure? Alternatives
More informationIntravesical Botox Injections
Intravesical Botox Injections Department of Urology Patient Information What What is is Botox? Botox? Botox or Botulinum Type-A is toxin produced by bacteria called Clostridium Botulinum. It is given intravesically
More informationObesity. Effect on the pelvic floor Risk for surgery. Patient Information Leaflet
Obesity Effect on the pelvic floor Risk for surgery Patient Information Leaflet About this leaflet The information provided in this leaflet should be used as a guide. You should take your time to read
More informationPelvic floor repair using Manchester technique without the need for hysterectomy. Patient Information Leaflet
Pelvic floor repair using Manchester technique without the need for hysterectomy Patient Information Leaflet About this leaflet The information provided in this leaflet should be used as a guide. There
More informationColposuspension operation
Colposuspension operation This information explains: Overview... 1 Your admission date... 1 The operation... 2 The anaesthetic... 2 After the operation... 3 Problems... 3 Going home... 4 Getting back to
More informationIf you have any further questions, please speak to a doctor or nurse caring for you.
Having a laparoscopy This leaflet aims to answer your questions about having a laparoscopy. It explains the benefits, risks and alternatives, as well as what you can expect when you come to hospital. If
More informationColposuspension. GHPI0086_10_15 Department: Gynaecology Review due: October BETTER FOR YOU
Colposuspension GHPI0086_10_15 Department: Gynaecology Review due: October 2018 www.gloshospitals.nhs.uk BETTER FOR YOU Bladder and Bowel Foundation SATRA Innovation Park Rockingham Road Kettering, Northants,
More informationTreating your prolapse
Treating your prolapse This leaflet explains what a prolapse is, and how it can be treated and managed. If you have any questions or concerns, please speak to a doctor or nurse caring for you. What is
More informationLaparoscopic Ventral Mesh Rectopexy
Patient Information Laparoscopic Ventral Mesh Rectopexy Introduction We expect you to make a rapid recovery after your operation and to experience no serious problems. However, it is important that you
More informationHysterectomy. Will my ovaries be removed at the same time?
Hysterectomy What is a hysterectomy? This is a major operation which removes the uterus (womb) and cervix (neck of the womb) from your body. Why is hysterectomy performed? Some hysterectomies are performed
More informationAn operation for anterior vaginal wall prolapse
n The Leeds Teaching Hospitals NHS Trust An operation for anterior vaginal wall prolapse Information for patients Leeds Centre for Women s Health BSUG (British Society of Urogynaecology) Patient Information
More informationPelvic organ prolapse
Page 1 of 11 Pelvic organ prolapse Introduction The aim of this leaflet is to give you information about a pelvic organ prolapse, its causes and available treatments but does not replace advice given by
More informationOperations for stress incontinence mid urethral tapes (retropubic and obturator)
INFORMATION FOR PATIENTS Operations for stress incontinence mid urethral tapes (retropubic and obturator) We advise you to take your time to read this leaflet. If you have and questions please write them
More informationPelvic organ prolapse. Information for patients Continence Service
Pelvic organ prolapse Information for patients Continence Service What is a pelvic organ prolapse? A pelvic organ prolapse occurs when the uterus (womb), vagina, bladder or bowel slips out of place, resulting
More informationPelvic Floor Exercises
Directorate of Women, Children and Surgical Services Burton and District Urogynaecology Centre A Nationally Accredited Urogynaecology Unit Pelvic Floor Exercises You have been given this leaflet because
More informationTRANSURETHRAL BULKING AGENT PATIENT INFORMATION
TRANSURETHRAL BULKING AGENT PATIENT INFORMATION ADHB Urology Department; Reviewed FEB 2005 Ubix code UPEB23 1 The information contained in this booklet is intended to assist you in understanding your proposed
More informationOG24 Posterior Repair
www.rcseng.ac.uk www.rcsed.ac.uk www.pre-op.org OG24 Posterior Repair Expires end of February 2018 Issued May 2017 What is a posterior prolapse? A posterior prolapse is a bulge in the back wall of your
More informationStress. incontinence FACTS, ADVICE, AND EXERCISES.
Stress incontinence FACTS, ADVICE, AND EXERCISES Facts about incontinence Urinary incontinence is a common problem; one in every four women has problems with some form of leakage. Incontinence can be anything
More informationPYELOPLASTY (LAPAROSCOPIC AND OPEN PROCEDURE)
PYELOPLASTY (LAPAROSCOPIC AND OPEN PROCEDURE) AN INFORMATION LEAFLET Written by: Department of Urology May 2011 Stockport: 0161 419 5698 Website: w w w. s t o c k p o r t. n h s. u k Tameside: 0161 922
More informationTransurethral Resection of Prostate
Transurethral Resection of Prostate Information for Patients This leaflet explains: What does the procedure involve?...2 What are the alternatives to this procedure?...2 What should I expect before the
More informationTrans Urethral Resection of Prostate (TURP) Department of Urology Information for patients
Trans Urethral Resection of Prostate (TURP) Department of Urology Information for patients i The prostate The prostate is a small gland which is found only in men. It is situated at the base of the bladder
More informationTrans-rectal Ultrasound Scan and Biopsy (TRUSS)
Trans-rectal Ultrasound Scan and Biopsy (TRUSS) What is the prostate gland? The prostate is a small gland the size of a walnut. It is found at the base of the bladder and surrounds the urethra (water pipe).
More informationVaginal Hysterectomy for Uterine Prolapse. Patient Information Leaflet
Vaginal Hysterectomy for Uterine Prolapse Patient Information Leaflet About this leaflet The information provided in this leaflet should be used as a guide. There may be some variation in how each gynaecologist
More informationThe Pelvic Floor Muscles - a Guide for Women
The Pelvic Floor Muscles - a Guide for Women This booklet is supported by WWWWW Wellbeing of Women Registered Charity No. 239281 www.wellbeingofwomen.org.uk Introduction Up to a third of all women experience
More informationNorthwest Rehabilitation Associates, Inc.
Pelvic Health Patient Intake Form Name: Date: Please answer the following questions as honestly and thoroughly as you can. Your responses will help us better understand your condition and provide the best
More informationPelvic floor exercises for women. Information for patients Continence Service
Pelvic floor exercises for women Information for patients Continence Service page 2 of 8 Why do I need to do pelvic floor exercises? Many women experience pelvic floor problems at some time during their
More informationUrogynecology Associates of Philadelphia URODYNAMIC TESTING
URODYNAMIC TESTING Urogynecology Associates of Philadelphia Most women with urinary incontinence will need to complete a few simple tests, performed in the office, to help your doctor assess your symptoms
More informationCystoscopy and urethroscopy
Page 1 of 5 Cystoscopy and urethroscopy Introduction This leaflet is provided to give you information about undergoing cystoscopy and/or urethroscopy. What is a cystoscopy? A cystoscopy is a procedure
More informationUSE OF BOTOX IN BLADDER DISORDERS
USE OF BOTOX IN BLADDER DISORDERS AN INFORMATION LEAFLET Written by: Department of Urology January 2017 Stockport: 0161 419 5698 Web site: w w w. s t o c k p o r t. n h s. u k Tameside: 0161 922 6696/6698
More informationManagement of Vaginal Prolapse
Information for Patients Saint Mary s Hospital/Trafford General Hospital Uro-gynaecology Service Management of Vaginal Prolapse Before reading this leaflet you should read What is vaginal prolapse? If
More informationFEMALE URINARY INCONTINENCE: WHAT IT IS AND WHAT YOU CAN DO ABOUT IT
URO-GYNECOLOGY PATIIENT IINFORMATIION SHEET FEMALE URINARY INCONTINENCE: WHAT IT IS AND WHAT YOU CAN DO ABOUT IT What is Urinary Incontinence? Stress Incontinence is a leakage of urine that occurs, for
More informationSUPRA PUBIC CATHETER(SPC)
Suprapubic versus urethral catheter? When a long-term catheter to drain the bladder is advised, it can be placed in the urethra (water pipe) or suprapubically (directly into the bladder through the skin
More informationFemale Urinary Incontinence: What It Is and What You Can Do About It
Female Urinary Incontinence: What It Is and What You Can Do About It Urogynecology Patient Information Sheet What is Urinary Incontinence? Stress Incontinence is a leakage of urine that occurs, for example,
More informationPelvic floor exercises for women. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Pelvic floor exercises for women An information guide Pelvic Floor Exercises for Women This leaflet will provide you with information about
More informationURINARY INCONTINENCE
Center for Continence Care and Pelvic Medicine What is urinary incontinence? URINARY INCONTINENCE Urinary incontinence is the uncontrollable loss of urine. The amount of urine leaked can vary from only
More informationURODYNAMIC STUDIES AN INFORMATION LEAFLET. Written by: Department of Urology. Stockport: Website: w w w. s t o c k p o r t. n h s.
URODYNAMIC STUDIES AN INFORMATION LEAFLET Written by: Department of Urology January 2017 Stockport: 0161 419 5698 Website: w w w. s t o c k p o r t. n h s. u k Tameside: 0161 922 6696/6698 Website: w w
More informationSurgery for an enlarged prostate transurethral resection of the prostate
Surgery for an enlarged prostate transurethral resection of the prostate Urology Department Patient Information Leaflet Introduction This leaflet is about surgery for an enlarged prostate, known medically
More informationUrology Department Percutaneous Nephrolithotomy (PCNL)
Urology Department Percutaneous Nephrolithotomy (PCNL) Your consultant has diagnosed that you have a problem with kidney stones and has recommended that you have an operation called a percutaneous nephrolithotomy
More informationToning your pelvic floor WELCOME
Toning your pelvic floor WELCOME Introductions Amelia Samuels, Physiotherapist, Active Rehabilitation Physiotherapy Supporting the Continence Foundation of Australia Continence Foundation of Australia
More informationAnterior Sphincter Repair Operation
Anterior Sphincter Repair Operation How will the operation help me? The investigations that you have had indicate that your anal sphincter is damaged or very weak, and this is why you are having trouble
More informationAbout your Hernia Operation
Patient Information About your Hernia Operation Introduction We expect you to make a rapid recovery after your operation and to experience no serious problems. However, it is important that you should
More informationVaginal hysterectomy. Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England.
Vaginal hysterectomy Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England. Discovery has made every effort to ensure that we obtained the information
More informationPelvic Floor Muscle Exercises and Advice for Men
Pelvic Floor Muscle Exercises and Advice for Men (formerly ACPWH) Useful resources Websites Pelvic Obstetric & Gynaecological Physiotherapy - pogp.csp.org.uk Bladder and Bowel Foundation - www.bladderandbowelfoundation.org
More informationHysteroscopy Clinic. Patient Information. Women and Children - Gynaecology
8 Hysteroscopy Clinic Patient Information Women and Children - Gynaecology When a woman is first told that she has a gynaecological condition that requires further investigation at a specialised hospital
More informationHernia Operations. What is a hernia? What does the operation involve? What are the benefits of an operation?
Hernia Operations Hernia Operations What is a hernia? The abdomen (the medical word for the tummy) contains many organs such as the liver spleen and intestines (the medical word for insides ) and these
More informationCYSTOSCOPY AND URETHRAL BULKING INJECTIONS INFORMATION FOR PATIENTS
The British Association of Urological Surgeons 35-43 Lincoln s Inn Fields London WC2A 3PE Phone: Fax: Website: E-mail: +44 (0)20 7869 6950 +44 (0)20 7404 5048 www.baus.org.uk admin@baus.org.uk CYSTOSCOPY
More informationReproduced with the kind permission of Health Press Ltd, Oxford
Trans Urethral Resection of the Prostate (TURP) Department of Urology Where is the Prostate Gland? The prostate gland sits below the bladder which lies behind the pubic bone see diagram below. The urethra
More informationTransurethral Prostatectomy (TURP) for Benign Disease
Transurethral Prostatectomy (TURP) for Benign Disease Whiston Hospital Warrington Road, Prescot, Merseyside, L35 5DR Telephone: 0151 426 1600 St Helens Hospital Marshall Cross Road, St Helens, Merseyside,
More informationYou have been booked for a. Flexible Cystoscopy. Under Local Anaesthetic
You have been booked for a Flexible Cystoscopy Under Local Anaesthetic 1 WHAT IS A FLEXIBLE CYSTOSCOPY A flexible cystoscopy is a test to examine the uretha (waterpipe) and bladder using a thin, lighted
More informationTreating narrowing of the urethra
Treating narrowing of the urethra Urology Department Patient Information Leaflet Introduction This leaflet is for people who have been recommended to have a procedure to treat narrowing of the urethra.
More informationUROLOGY SYDNEY Level 1, St George Medical Centre 1 South Street Kogarah NSW 2217 Ph: Fax:
Pre Operative care: Preop investigations: Radical Prostatectomy Pre and Post Operative Care Once your surgery date has been decided you will be sent for routine blood and urine tests, an ECG will also
More informationPelvic floor exercises for women. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Pelvic floor exercises for women An information guide Pelvic floor exercises for women This leaflet will provide you with information about
More informationCYSTOSCOPY & TRANSURETHRAL RESECTION OF THE PROSTATE
Associates: Dr Kim Pese Dr Kym Horsell Dr Michael Chong Dr Jason Lee The Tennyson Centre Suite 19, First Floor 520 South Road Kurralta Park SA 5037 Appointments: 08 8292 2399 Fax: 08 8292 2388 admin@urologicalsolutions.com.au
More informationThis information is intended as an overview only
This information is intended as an overview only Please refer to the INSTRUCTIONS FOR USE included with this device for indications, contraindications, warnings, precautions and other important information
More informationBLADDER TUMOUR RESECTION
BLADDER TUMOUR RESECTION (TRANSURETHRAL RESECTION OF A BLADDER TUMOUR / ) AN INFORMATION LEAFLET Written by: Department of Urology January 2017 Stockport: 0161 419 5698 Website: www.stockport.nhs.uk Tameside:
More informationTreatment for bladder tumours (transurethral resection of bladder tumour (TURBT))
Treatment for bladder tumours (transurethral resection of bladder tumour (TURBT)) Information for patients from the Urology Department You have had a cystoscopy or other examination that has shown that
More informationHaving prostate surgery
Having prostate surgery Urology department 01935 384 394 yeovilhospital.nhs.uk The most common operation on the prostate is known as a Transurethral Resection of the Prostate (TURP). Sometimes, it is necessary
More informationPhysiotherapy advice following your third or fourth degree perineal tear
Further sources of information NHS Choices: www.nhs.uk/conditions Our website: www.sfh-tr.nhs.uk INFORMATION FOR PATIENTS Patient Experience Team (PET) PET is available to help with any of your compliments,
More informationTransurethral Resection of Prostate (TURP)
Transurethral Resection of Prostate (TURP) This leaflet explains: What does the procedure involve?... 2 What are the alternatives to this procedure?... 2 What should I expect before the procedure?... 2
More informationTreating your enlarged prostate gland using holmium laser enucleation of the prostate (HoLEP)
Treating your enlarged prostate gland using holmium laser enucleation of the prostate (HoLEP) This leaflet will answer any questions you may have about having holmium laser treatment for your enlarged
More informationAnkle arthroscopy. If you have any further questions, please speak to a doctor or nurse caring for you
Ankle arthroscopy This leaflet aims to answer your questions about having an ankle arthroscopy. It explains the benefits, risks and alternatives, as well as what you can expect when you come to hospital.
More informationColposuspension for Stress Incontinence
INFORMATION FOR PATIENTS Colposuspension for Stress Incontinence We advise you to take your time to read this leaflet, any questions you have please write them down on the sheet provided (towards the back)
More informationProstate Artery Embolisation (PAE)
Service: Imaging Prostate Artery Embolisation (PAE) Exceptional healthcare, personally delivered Ask 3 Questions The team delivering your healthcare want to encourage you to become as involved as possible
More informationVaricose Veins Operation. Patient Information Leaflet
Varicose Veins Operation Patient Information Leaflet April 2017 1 WHAT IS VARICOSE VEIN SURGERY (HIGH LIGATION AND MULTIPLE AVULSIONS) The operation varies from case to case, depending on where the leaky
More informationLaparoscopic Sacrocolpopexy
Laparoscopic Sacrocolpopexy Department of Gynaecology Patient Information What is is a a laparoscopic sacrocolpopexy? This is an operation carried out using key hole surgery under general anaesthesia to
More information