Marshall-Marchetti-Krantz Procedure

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The Marshall-Marchetti-Krantz procedure is surgery to correct uncontrolled urine loss (urinary incontinence) in women. Women with urinary incontinence often have urine loss during exercise, laughing, coughing, sneezing, and sexual intercourse. Urinary incontinence is usually seen in women who have had vaginal deliveries and in menopausal women. It occurs because of a lack of estrogen and the weakening of the muscle and ligament tissue around the bladder and urethra. LET YOUR HEALTH CARE PROVIDER KNOW ABOUT: Any allergies you have. All medicines you are taking, including vitamins, herbs, eye drops, creams, and over-the-counter medicines. Previous problems you or members of your family have had with the use of anesthetics. Any blood disorders …show more content…

X-ray exams. Ultrasonography. Bladder and urinating tests (urodynamic testing). Cystoscopy. This is a test to look into your bladder using a small metal scope with a light. Ask your health care provider about changing or stopping your regular medicines. You may need to stop taking certain medicines, such as aspirin or blood thinners, a week before your surgery. Do not eat or drink anything for 8 hours before your surgery. If you smoke, do not smoke for at least 2 weeks before surgery. Smokers do not heal as well and tend to have more breathing problems during and after surgery. Make plans to have someone drive you home after your hospital stay. Also arrange for someone to help you with activities during recovery. PROCEDURE An IV tube will be placed in one of your veins. You will be given a medicine to help you relax before the procedure (sedative). You will then be given a medicine to make you sleep during the procedure (general anesthetic). Your lower abdomen will be shaved and washed with an antiseptic soap. A thin, flexible tube (catheter) will be placed in your bladder through the urethra. An incision is made above the pubic

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