Bladder suspension surgery involves placing a sagging bladder back into its normal position, according to WebMD. Three potential methods of performing the procedure include open retropubic suspension surgery, laparoscopic retropubic suspension surgery and needle bladder neck suspension surgery.
Open retropubic suspension surgery involves the surgeon making an incision below the belly button and pulling up the bladder neck and suturing it to the surrounding bone or tissue, explains WebMD. The procedure improves symptoms of stress incontinence that result from sagging of the bladder neck or urethra.
Laparoscopic retropubic suspension requires a smaller incision in the belly and inserting a laparoscope that allows the doctor to see the organs, states MedlinePlus. The doctor then sutures the bladder neck, part of the wall of the vagina, and the urethra to the bones and ligaments in the pelvis.
During a bladder neck needle suspension surgery, a long needle is used to thread a suture from the vagina to the abdominal wall, and the suture incorporates paraurethral tissue at the level of the bladder neck, says the Urology Care Foundation.
Bladder suspension surgery is a generally used to treat stress incontinence, also known as urine leakage, that occurs when a person sneezes, laughs or coughs, notes WebMD. The procedure is recommended for moderate to severe stress incontinence that does not get better with non-invasive treatments such as Kegel exercises, medications and electrical stimulation.