Dr Jo Schoeman
Urological Surgeon

        

Incontinence and Pelvic Organ Prolapse Surgery

Burch Para-Urethral Repair

Intrapelvic open procedure for the repair of the pelvic floor to treat stress incontinence.

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Cystocoele Repair (Natural)

For bladder prolapse repair. Usually occurs in middle age women with prolonged labour, ageing and tissue laxity as causative agents.

This can be repaired with Mesh (for the sexually inactive) Porcine dermis Native vaginal tissue (Natural).

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Cystocoele Repair (Elevate Synthetic)

Discontinued

Mesh has been removed from the market due to high complication rates

Cystocoele Repair (Surgisis)

For bladder prolapse repair. Usually occurs in middle age women with prolonged labour, ageing and tissue laxity as causative agents.

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Inravesical Botox

To alter the neuro-transmission from the Neuron to muscle receptor for bladders with Urge Incontinence.

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Macroplastique Peri-urethral Injections

For those ladies where a sling procedure or even a retro-pubic Birch colposuspension has failed due to intrinsic Sphincter Deficiency. These injections bolster up the urethra leading to better closure. The substance may migrate and may require more than one procedure.

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Male Advance Sling/ ATOMS Sphincter

For those guys who suffer persistent low-intermediate grade of stress incontinence after their radical prostatectomy for prostate cancer. Done on the same principles of the TVT-O sling, yet more invasive.

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Obturator Sling Incontinence Procedure

Placement of a minimally invasive polypropelene sling in the obturator foramen with a flexible cystoscopy and local anaesthetic infiltration to treat Stress incontinence.

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Rectus Sheath Fascial Sling

Harvesting and placement of a rectus sheath sling in the retropubic space combined with a flexible cystoscopy and local anaesthetic infiltration to treat Stress incontinence.

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Retropubic Sling: Incontinence Procedure

Placement of a minimally invasive polypropelene sling in the retropubic space with a flexible cystoscopy and local anaesthetic infiltration to treat Stress incontinence.

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Sacro Neuro Modulation

To alter the neuro-transmission from the Spinal Centre to the Bladder to treat Over Active Bladders with Urge Incontinence.

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Urodynamic Studies

Urodynamics is a collective name for a number of tests of bladder functions. Urodynamic Studies are undertaken to identify Urinary problems, especially incontinence, may affect women and men of any age.

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Vault Repair (Sacro-Colpo Pexy)

The aim of surgery is to relieve the symptoms of vaginal bulge and / or laxity.

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Colpocleisis

The aim of surgery is to relieve the symptoms of vaginal bulge and / or laxity.

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