Urinary incontinence following hip replacement surgery

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has anyone else had this problem? slight after first hip op in Jan 2017 but worse after second hip replacement in Jan 2020. Doctors all dismiss surgery as a cause.

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3 Replies

  • Edited

    This is from a study . As the anatomical characteristic of the short external rotators, the root of the internal obturator muscle is connected to the levator ani muscle. Among the pelvic floor muscles, this levator ani muscle is closely involved in supporting the pelvic organs. Since the short external rotators may have been atrophied due to hip joint dysfunction before surgery, if the strength of this muscle group recovers, support of the pelvic organs and urinary incontinence may be improved. It was assumed that surgery through AA improved external rotation contracture of the hip joint and leg length, which increased tension of the internal obturator muscle, with which tension of the pelvic floor muscle also increased and improved urinary incontinence.

    ani muscle: The levator ani is a broad muscular sheet located in the pelvis. Together with the coccygeus muscle and their associated fascias it forms the pelvic diaphragm. The levator ani is collection of three muscles: puborectalis (puboanalis), pubococcygeus, and iliococcygeus.

    The function of the entire levator ani muscle is crucial, in that it stabilizes the abdominal and pelvic organs. It literally stops your organs from falling straight out of your pelvis and abdomen!

    • Edited

      Thank you so much for your reply Barbara. From having made a great recovery from my first hip replacement, I have found myself getting more and more despairing after the second.

      I was, I admit, somewhat floored by a wound infection in the weeks following the op, followed quickly by the first lockdown. i did start to feel increasingly depressed and generally sorry for myself.

      My GP is very good but her approach at present is medication which does not seem to make any difference at all. I will read the study which you have kindly sent and the associated links which all look really interesting. There does appear to be a lot which I can action to try to help myself.

      Again, thank you for your kindness and support.

    • Edited

      Hip surgery can be a blessing or a curse. If complications occur it can be a long recovery.

      Very sorry you experienced wound infection, That is scary. very good recovery otherwise.

      It's really important to see a urologist. There are nerves and muscles that can be disrupted during surgery that can have a direct impact on incontinence.

      Please continue to research this issue gather all the info to appointments and become your own self advocate an extremely important factor to achieving answers. Be assertive but calm pointing out that in your case you have been injured from surgery according to your research on this subject.

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