Incontinence: Laser Surgery Options for Seniors

Urinary urgency and incontinence issues?

Hello, Dr.
Tu: (1) My father is 75 years old and has severe urinary retention and incontinence issues.
He is currently using a urinary sheath and bag on his own.
Can this condition be cured with laser surgery? (2) Is the risk of laser surgery high? (3) Is there insurance coverage for this procedure?

Axiang, 40~49 year old female. Ask Date: 2011/04/07

Dr. Tu Xiuhong reply Urology

There are many causes of urinary frequency and incontinence.
It is recommended to take your father to a urology clinic for further evaluation and treatment, after which a treatment plan can be determined.

Reply Date: 2011/04/07

More Info

Dear Patient,
Thank you for your inquiry regarding your father's severe urinary incontinence and the potential use of laser surgery as a treatment option. I understand that this is a significant concern for both you and your father, especially considering his age and current management with urinary bags.

1. Effectiveness of Laser Surgery for Urinary Incontinence: Laser surgery can be an effective treatment for certain types of urinary incontinence, particularly stress urinary incontinence, which is often caused by weakened pelvic floor muscles or urethral support. The procedure typically involves the use of laser energy to tighten the tissues around the urethra, which can help improve bladder control. However, the success of the procedure can vary based on the underlying cause of incontinence. If your father's incontinence is due to other factors, such as neurological issues or bladder overactivity, laser surgery may not be the most appropriate solution. It is essential to have a thorough evaluation by a urologist to determine the specific type of incontinence and the best treatment options available.

2. Risks Associated with Laser Surgery: Like any surgical procedure, laser surgery carries certain risks. These can include infection, bleeding, and adverse reactions to anesthesia. Additionally, there may be specific risks related to the laser technique itself, such as damage to surrounding tissues or the potential for incomplete resolution of incontinence symptoms. It is crucial to discuss these risks in detail with the surgeon, who can provide a comprehensive overview based on your father's health status and medical history.

3. Insurance Coverage: Regarding insurance coverage, it varies by provider and specific policy. In many cases, laser surgery for urinary incontinence may be covered by health insurance, particularly if it is deemed medically necessary. However, it is advisable to check with your father's insurance provider to confirm coverage details and any potential out-of-pocket costs. Additionally, some healthcare systems may have specific criteria that need to be met for coverage approval.

In conclusion, while laser surgery can offer a potential solution for urinary incontinence, it is essential to evaluate your father's specific condition and discuss all available options with a qualified urologist. They can provide personalized recommendations based on a thorough assessment, including any necessary pre-operative evaluations.
I hope this information helps you and your father make an informed decision regarding his treatment options. Please feel free to reach out if you have any further questions or need additional assistance.

Best regards,
Doctor Q&A Teams

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