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SCKMC Offering Anti-Incontinence Procedure

August 8, 2014

Urinary incontinence (UI), or the involuntary loss of urine, is not a comfortable subject to discuss for most people. However the condition is quite common in women, particularly as they age. It is estimated that up to 30-percent of women 60 years of age or older have UI.

Dr. Perry Lin, OB/GYN with South Central Kansas Medical Center, regularly sees patients who suffer from UI. He has been preforming a corrective procedure for the condition for the past fourteen years.

Arkansas City, KS - Urinary incontinence (UI), or the involuntary loss of urine, is not a comfortable subject to discuss for most people. However the condition is quite common in women, particularly as they age. It is estimated that up to 30-percent of women 60 years of age or older have UI.

Dr. Perry Lin, OB/GYN with South Central Kansas Medical Center, regularly sees patients who suffer from UI. He has been preforming a corrective procedure for the condition for the past fourteen years.

"Because of the high incidence of UI, many women accept it as a normal part of aging process and only infrequently seek out medical help. In reality, UI is a chronic and potentially debilitating condition that could substantially affect a woman's quality of life and warrants medical evaluation," Dr. Lin said.

There are several types of UI and most respond to either medical and/or surgical management. Dr. Lin prefers a minimally invasive surgery known as tension-free vaginal tape (TVT). TVT is considered the current standard of care for surgical management of UI.

"TVT is the most effective surgical management for urinary incontinence ever invented. It is an excellent choice for most women with the type of incontinence that is amenable to surgical management, offering excellent outcome, low risk potential, and minimal recovery time," Dr. Lin said.

The TVT surgery is usually done on an outpatient basis and takes about 20 minutes to perform. The surgery does not create a large abdominal incision and is completed without laparoscopy. A synthetic sling measuring 1 cm in width is inserted into the vagina under the vaginal tissue. The sling is positioned beneath the urethra and acts as a backstop against which the urethra would compress itself and close off the urinary stream thereby preventing leakage of urine.

The sling used in TVT is different than the pelvic meshes used in years past for vaginal prolapsed repair. Those procedures have since come under scrutiny, with many products being withdrawn from FDA approval and the source of several class action lawsuits.

"I personally have never used pelvic meshes of the type described in the television ads. Compared to the TVT sling, these other meshes are immense pieces of synthetic non-degradable material that create tremendous complications and are enormously difficult to remove due to their size. In my opinion, the TVT is an extremely safe and effective surgery option for women who need surgery to manage their incontinence. In the rare case of a need for partial or complete removal, this can easily be done in the office or as a small outpatient surgery due to its small size," Dr. Lin said.

And while the TVT is Dr. Lin's preferred option for the treatment of UI, he does offer another treatment option for those who might be unable to tolerate the procedure, urethral bulking agent injection (UBA). In UBA, a bulking agent is injected directly into the urethra to decrease the size of this channel thereby decreasing involuntary urinary loss.

"There is no incision and virtually no recovery time for UBA. However, because the bulking agent eventually dissolves, periodic injections are often necessary," Dr. Lin said.

For more information about the TVT or UBA procedures, or for appointments call the SCKMC specialty clinic at 441- 5711. Referrals are not required for most insurance, but may vary depending on individual plans. Dr. Lin will also work with area physicians to accept referrals of patients needing specialized care.

(Photo: Dr. Perry Lin)

Dr. Perry Lin, OB/GYN

Dr. Perry Lin, OB/GYN