Bladder Sling Surgery in Korea

Bladder sling surgery, often referred to as mid-urethral sling surgery, is a very common and effective surgical procedure primarily used to treat stress urinary incontinence (SUI) in women. In Korea, this minimally invasive surgery is widely performed by gynecologists and urologists, offering a highly successful and durable solution for women who experience involuntary urine leakage, significantly improving their quality of life.

Understanding Female SUI & Indications in Korea

Female SUI is the involuntary leakage of urine with activities that increase abdominal pressure.

• Causes: Weakening of the pelvic floor muscles and/or intrinsic urethral sphincter deficiency, often due to childbirth, aging, obesity, chronic coughing, or strenuous physical activity.
• Symptoms: Urine leakage when coughing, sneezing, laughing, exercising, lifting, or sudden movements. Severity ranges from mild to severe, impacting daily activities.
• Indications for Bladder Sling Surgery: Typically recommended for women with moderate to severe SUI who have not responded adequately to conservative treatments like pelvic floor muscle exercises (Kegel exercises). It's also considered for those who desire a more definitive solution.
• Diagnosis: In Korea, diagnosis involves a detailed medical history, physical examination, pad test (to quantify leakage), and often urodynamic studies to assess bladder function and confirm SUI.

Common Surgical Techniques in Korea

Bladder sling surgery involves implanting a synthetic mesh (or sometimes autologous tissue) to support the urethra.

• Mid-Urethral Sling: The most common type, using synthetic mesh.
• Retropubic Sling (e.g., TVT): Mesh passed from vagina, behind pubic bone, out through small abdominal incisions to support the urethra.
• Transobturator Sling (e.g., TOT): Mesh passed through the obturator foramen (pelvic opening) from vaginal incision to inner thigh incisions, supporting the urethra and potentially reducing bladder injury risk.
• Autologous Fascial Sling: Less common, uses the patient's own tissue.
• Duration: Minimally invasive, typically 30-60 minutes.

Recovery & Outcomes in Korea

Recovery from bladder sling surgery is generally quick, with high rates of continence improvement.

• Hospital Stay: Often outpatient or 1-2 day overnight stay.
• Post-Op Care: Mild pain, discomfort, and temporary urinary issues are common. A temporary catheter may be used.
• Activity: Light activities within days; strenuous activities, heavy lifting, and sexual intercourse restricted for 4-6 weeks.
• Success Rates: Very high (85-90% improvement/cure), with durable long-term results.
• Complications: Overall low; can include temporary urinary retention, rare mesh erosion, pain, or infection.

Korean Guidelines & Practice

Bladder sling surgery is a well-established and routinely performed procedure in Korea.

• Standard Treatment: Widely recognized as a highly effective and safe treatment for female SUI.
• Experienced Surgeons: Performed by experienced gynecologists and urologists specializing in female pelvic medicine.
• Patient Counseling: Comprehensive discussions on sling type, outcomes, risks, and post-operative care.
• National Health Insurance: Generally covered for medically indicated SUI.

Key Takeaways for Bladder Sling Surgery in Korea

To summarize the essential points about Bladder Sling Surgery in Korea:

• Treats Female SUI: Highly effective for moderate to severe stress urinary incontinence in women.
• Minimally Invasive: Uses synthetic mesh (or tissue) to support the urethra, common types include retropubic and transobturator slings.
• High Success Rates: Offers significant and durable improvement in bladder control with relatively quick recovery.
• Standard & Supported: A routinely performed procedure by expert surgeons, with national health insurance coverage.

We hope this guide clarifies Bladder Sling Surgery in Korea. Always consult a qualified medical professional for personalized advice, diagnosis, and treatment options for urinary incontinence.