Bladder Suspension is a surgical procedure performed to treat stress urinary incontinence (SUI) in women, which is characterized by the involuntary leakage of urine during activities that put pressure on the bladder, such as coughing, sneezing, laughing, or lifting. Bladder suspension procedures are designed to provide additional support to the urethra and bladder neck, helping to prevent these leakage episodes. There are various techniques for performing bladder suspension, and two common approaches include:

Burch Colposuspension:

• Purpose: Burch colposuspension is primarily used to treat SUI by providing additional support to the bladder neck and urethra.

• Procedure: This procedure is often performed through an abdominal incision. The surgeon will use sutures to elevate and suspend the bladder neck to a higher position, reducing the risk of urine leakage during physical activities.

Pubovaginal Sling Procedure:

• Purpose: The pubovaginal sling procedure, also known as sling surgery, provides support to the urethra and bladder neck, helping to prevent urinary incontinence episodes.

• Procedure: The surgeon typically uses a sling made of synthetic material or the patient's tissue (autologous sling) to create additional support under the urethra. This sling acts like a hammock, keeping the urethra closed during activities that would otherwise cause urine leakage. The procedure may be performed through an abdominal incision, a vaginal incision, or as a minimally invasive procedure.

Recovery: Recovery after a bladder suspension procedure varies depending on the specific technique used and the patient's overall health. Most patients can return to their normal activities within a few weeks after the surgery, and some mild discomfort and swelling may be experienced in the surgical area.

Risks and Complications: Potential risks and complications of bladder suspension procedures may include infection, bleeding, sling erosion, urinary retention, and, in some cases, recurrent or persistent incontinence. Regular follow-up visits with the healthcare provider after the surgery are essential to monitor progress and address any issues.

Bladder suspension procedures are considered effective treatments for SUI and can significantly improve a woman's quality of life by reducing or eliminating urinary leakage during physical activities. Patients should have a thorough discussion with their healthcare provider to understand the procedure, potential risks and benefits, and any alternative treatment options before proceeding with the surgery. The choice of the surgical technique should be based on the patient's specific condition and the surgeon's expertise.