What Is Bladder Suspension Surgery?

In 1973, Stamey applied bladder neck suspension under cystoscopy to treat female stress urinary incontinence. After long-term clinical application, the technology is gradually improved, which has the advantages of simple surgery, small damage, and reliable suspension.

Basic Information

Chinese name: Cystoscope neck suspension

Visiting department: Urology

Cystoscopy anesthesia method and preoperative preparation for bladder neck suspension

Anesthesia mode

Anesthesia with epidural block.

2. Preoperative preparation

(1) Patients with bladder and urethral infections should be treated first, and surgery should be performed after the inflammation subsides.

(2) Strengthen the exercise of the pelvic floor muscles and increase their tension.

(3) Those with chronic cough should be treated before surgery.

(4) Those with perineal dermatitis, eczema, or erosion should be actively treated to keep the skin dry.

Indications for cystoscopy suspension under cystoscopy

Posterior pubic bladder neck suspension is suitable for patients with true stress urinary incontinence due to pelvic floor support tissue insufficiency.

1. Unmarried women.

2. No obvious bladder bulge and uterine prolapse.

3. Bladder urethral angiography, when the abdominal pressure increases, the bladder neck is lower than the normal position.

4. Bladder urethral angiography, disappearance of posterior horn of bladder and urethra.

5. Those who need to extend the urethra.

6. Vulvar eczema is not cured for a long time.

7. Those who have failed transvaginal surgery need to be operated again.

Cystoscopy bladder neck suspension procedure

1. Abdominal wall incision.

2. A vaginal incision.

3. For the first puncture, use a straight needle with a gap in the tip to puncture the vagina through a transverse incision on the side of the abdomen. At the same time, the assistant gently pulled the balloon catheter, and the surgeon indicated that the position of the balloon was found in the incision of the anterior wall of the vagina.

4. Cystoscopy.

5. Hang the No. 7 silk thread on the puncture needle opening and pull out the puncture needle.

6. Suspension.

7. Fix the bladder neck in the hanging position by hand in the vagina, take out the urethoscope, and keep the hanging wire tight and knotted. Suture the abdominal and vaginal incisions.