Bladder Tuck

Why Have A Bladder Tuck?

On the surface, a bladder tuck sounds like a cosmetic procedure in a strange part of the body. In truth, a bladder tuck is used to correct a disorder in the region of the bladder and pelvis which often leads to incontinence, or an inability to have full control of the bladder.

The bladder is a pouch-shaped muscle, which receives waste in the form of urine from the kidneys, and stores the waste until time for elimination. Normally, the urinary system will send a message to the brain as the bladder begins to become full, telling the brain it's time to allow the bladder to empty. We of course get the message, and allow our bladder to empty at the next opportune time.

Out Of Position - There are times however, when something is not right, and either a message to the brain does not get sent, is sent too often, or bladder control simply becomes difficult or is lost altogether. There are a number of circumstances which can cause a disorder, one of them being when the bladder, for whatever reason, simply slips out of position. The bladder may fall against the vaginal wall in the case of women, or rest against the prostrate gland in men. In either case, this improper position can create a problem called stress urinary incontinence, where pressure is being placed upon the bladder, leading to a tendency of the bladder to relieve itself, though usually only partially.

Sneeze And Pee - The signs of stress incontinence can of course be embarrassing at times, such as leaking when sneezing, coughing, or even laughing, which are fairly common symptoms. This condition is fortunately treatable in most cases, normally through surgery called a bladder tuck.

A bladder tuck is not quite like a chin tuck or a tummy tuck. Where the bladder is concerned, fat or excess tissue is not being removed, or the size of the organ made smaller. In a bladder tuck, the bladder is simply put back to where it belongs, usually by fastening it against one of the pelvic bones. There are a number of different surgical procedures in place one can choose from, and it is best to consult with your doctor or gynecologist to see which one might be best for you. Some procedures, called open surgeries, are quite invasive in that the incision can be fairly large. Other procedures, such as laparoscopy, require only very small incisions, and in women the operation is at times performed through the vaginal wall, minimizing or eliminating the need for external incisions. The various procedures each have their advantages and disadvantages.

Colpocystourethropexy – Just A Bladder Tuck -  It is not at all unusual to perform a bladder tuck in conjunction with another surgical procedure, such as a hysterectomy, or another type of abdominal surgery where the bladder tuck can be accomplished without putting the patient to unnecessary added risk. The standard bladder tuck procedure, with the tongue-twisting name colpocystourethropexy, requires a wide incision, and for that reason is often the procedure followed in conjunction with other surgery being performed in the abdominal area. In a colpocystourethropexy, the neck of the bladder is attached to a nearby structure, usually a pelvic bone, either by stitching or using sutures. Another procedure is to use a basket of mesh-like material to hold the bladder in place.

Although open surgery is time-tested and proven effective, it does have the disadvantages of a longer recovery time and a greater chance of scarring. Laparoscopy, where the incisions are relatively small, offers a much lesser chance of scarring and a faster recovery time, but is more subject to possible complications. So, there are choices to be made. As is the case with most major surgeries, there is always the possibility of complications developing, and while it is seldom the case, a second operation may at times be required. The procedures used for both men and women are constantly being improved upon in an attempt to make surgery less invasive, decrease the probability of complications setting in, and to increase the probability of overall success.