SURGICAL PROCEDURES

Dr. Klaudia Stangel-Wójcikiewicz specializes in the surgical treatment of urinary incontinence using state-of-the-art methods.

The typical surgical treatment option for stress urinary incontinence is the Burch colposuspension, i.e. providing support for the urethra and bladder neck by lifting the vaginal tissue and attaching it to the Cooper’s ligaments on both sides.

Global trends in the treatment of stress urinary incontinence involve the use of synthetic material, or polypropylene monofilament tapes.

The procedure is preceded by urodynamic testing and urogynaecological consultation. The tapes are placed through the vagina and retropubic space using the TVT (tension-free vaginal tape) method, or through the obturator foramen using the TOT (transobturator tape) method. It is also possible to carry out the procedure using mini-slings, with their unique structure that features “hooks” anchoring in the vaginal tissues.

In the treatment of SUI, we also use techniques known as periurethral and transurethral injections. The materials used in this method include silicone, Teflon and hydrogels.

In the case of incontinence caused by overactive bladder or urinary urgency, we use a technique based on botulinum toxin injected into the bladder.

 

REGENERATIVE TREATMENT OF SUI

NEW

Dr. Klaudia Stangel-Wójcikiewicz is the only researcher in Poland who has developed a technique of administration of cellular material originating from the muscle to regenerate damaged urethral sphincter in the treatment of stress urinary incontinence. Four years of observations and numerous publications confirm her contribution to the development of this field of science. Her cooperation with the Department of Robotics and Mechatronics of the AGH University of Science and Technology has resulted in the development of an automated system for precise delivery of the cell suspension (hybrid robot – patent pending) in the treatment of stress urinary incontinence.

 

LIST OF SURGICAL PROCEDURES OFFERED

  • Treatment of stress urinary incontinence: TVT, TOT, mini-sling
  • Treatment of stress urinary incontinence: periurethral and transurethral injections
  • Treatment of incontinence caused by overactive bladder or urinary urgency: botulinum toxin
  • Treatment of stress urinary incontinence: Burch colposuspension
  • Surgical treatment of uterine fibroids (laparotomy, laparoscopy)
  • Surgical treatment of ovarian lesions: cysts and tumours (laparotomy, laparoscopy)
  • Surgical treatment of uterine lesions: endometrial polyps, submucosal fibroids, uterine septum
  • Surgical treatment of pelvic organ prolapse: prolapse of the walls of the vagina and/or uterus and cervix (transvaginal, laparotomy, laparoscopy)
  • Surgical removal of endometrial nodules after caesarean section