Surgery is usually only considered when lifestyle changes (losing weight, quitting smoking) and exercises, including specialist physiotherapy, to correct stress incontinence have failed.
The most common type of surgery aims to correct a prolapse.
Designed to improve stress incontinence, there are four main procedures:
- TVT (Trans-Vaginal Tape operation) that installs a U-shaped piece of mesh tape to support the urethra
- Colposuspension, which is where the neck of the bladder is stitched to the pubic bone to lift and hold it back into place
- Rectus Fascial Sling, which is similar to the TVT procedure but uses a small section of the patient’s own abdominal tissue to form the support instead of tape
- Urethral Bulking Agents, that are injected into the neck of the bladder to make it tighter and stronger
Surgery may also be considered in cases where a blockage is causing Urinary Retention.
Pelvic Floor Exercising
Supports and helps control bladder and bowel function. Strengthening the pelvic floor can improve most types of incontinence and in some cases, even resolve it altogether.