בריחת שתן

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טיפול יעיל לבעיית בריחת שתן בקרב נשים

סובלת מבריחת שתן? ניתוח ה-tension-free vaginal tape) TVT) הוא הניתוח השכיח לתיקון דליפת שתן במאמץ. ראשית, נבהיר מהי דליפת שתן במאמץ. מדובר באיבוד שתן בפעילויות יומיומיות כגון שיעול, עיטוש, פעילות גופנית וכדומה. הבעיה שכיחה מאד ואחת משלוש נשים תסבולנה ממנה.

רצפת האגן הנה קבוצת שרירים, רצועות ורקמת חיבור, הנמצאת בתחתית הבטן. תפקידה לתמוך בשלפוחית השתן וברחם במקומם האנטומי התקין. נזק לרצפת האגן, כפי שקורה לאחר לידות, עם הכניסה לגיל המעבר, אצל נשים שמרימות משאות כבדים לאורך זמן, ואף מסיבות גנטיות, יביא לדליפת שתן במאמץ.

ניתוחי TVT לטיפול יעיל בדליפה או בריחת שתן

ניתוח TVT הנו ניתוח זעיר-פולשני המבוצע בחתך של סנטימטר וחצי בדופן הנרתיק הקדמי בהרדמה אזורית או כללית. הניתוח נמשך כעשרים דקות והאישה משתחררת הביתה באותו יום או למחרת. בניתוח מחדירים סרט (tape) מחומר סינטטי שרוחבו כ-1 סנטימטר, המושם בין צינורית השתן לנרתיק. הסרט תומך בצינורית השתן ובמוצא השלפוחית במקום רצפת האגן שניזוקה. ההצלחה הניתוחית גבוהה; כ-90 עד 94 אחוז מהנשים מרוצות מהניתוח. החזרה לפעילות היומיומית מהירה. אולם, ייתכן דמם מהנרתיק וצריבה קלה במתן שתן למספר ימים. מומלץ להימנע מהרמת משאות כבדים וקיום יחסי מין במשך החודש הראשון שלאחר הניתוח.

קראי עוד בנושא דליפת שתן

פרופ’ דוד גורדון נבחר לרשימת Duns 100 medical – דירוג הרופאים המומחים הטובים בישראל לשנת 2024!

תכיפות במתן שתן, דליפת שתן וצניחת שלפוחית בנשים: פורסם ב- calcalist

פרופ’ דוד גורדון דורג ברשימת הרופאים הטובים בישראל 2024 של Forbes Israel

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לקביעת תור חייגו למזכירות המרפאה:
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