Placement of the MiniArc is a simple procedure that is faster to perform than traditional approaches. It is performed on an outpatient basis, so you can return home within a few hours after the surgery. Your physician can use local, regional or general anesthesia.
Before the procedure, your doctor should give you a thorough explanation of what will happen during your surgery and how to prepare for it. Your doctor also should explain the procedure in more detail and should describe the associated risks. Be sure to discuss any concerns with your doctor right away.
In general, placing the MiniArc sling involves the following steps. (Your doctor's method may vary slightly from this one.)
- A small incision is made in the vagina.
- The mesh is inserted through the incision and placed under the urethra to provide support.
- The mesh is held in place with self fixating tips that are attached to muscle in the space surrounding the urethra.
What to Expect After the Procedure
Your doctor may insert a catheter through your urethra to drain urine from your bladder immediately after surgery. The catheter usually is removed before you leave the hospital, however, if your bladder does not empty properly, you may have to use a catheter at home until normal voiding resumes.
Most women experience continence immediately after the procedure and are able to return home a few hours after surgery.
Although many women have little or no pain after the procedure, your doctor may prescribe pain medication for you, if needed. In addition, your docter may prescribe antibotics.
Your incision will be small and should heal quickly. For approximately four to six weeks you should avoid sexual intercourse, heavy lifting and exercise. You can return to other normal daily activities at your doctor's discretion, often within a few days.
Your doctor will provide you with additional information on your care after surgery for stress urinary incontinence, including any other limitations to activities.
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