If regular Kegel exercises (at least 3 times a week for 3 months) or medication do not work, we recommend surgical treatment. As several surgical methods are available, we choose the one that best suits the patient after consultation.
Surgical treatment of stress incontinence
The aim is to restore the closing function of the urethra. The following procedures are the most popular nowadays:
Slings under the bladder
This procedure aims to correct the prolapse of the vaginal wall and is recommended along with other anti-incontinence procedures. Efficiency: As an incontinence correcting procedure it lasts for 3-5 years and its efficiency is only 37-63%.
Bladder neck and vaginal suspension
Stress incontinence caused by urethral hypermobility and prolapse of the upper vaginal wall can be corrected with this procedure. Efficiency: Colposuspension is the most effective surgical way of curing stress incontinence caused by urethral hypermobility as its efficiency is 82-85% even after 5-10 years.
Tension-free vaginal tape
This is recommended in cases of insufficient working of the inner closing muscles or recurring urethra hypermobility. The positioning of the tape is required if urine is leaking and no prolapse is present in the vagina. Efficiency: This preocedure has been used since 1995 and its short term efficiency is 96-98%. Based on current data its long term efficiency (more than 5 years) is about 88-92%.
Artificial urinary sphincter
This is recommended in cases of incontinence due to pelvis injury or insufficient operation of the closing muscles because of neural shock from former radical surgical procedures in the lesser pelvis, or if incontinence cannot be cured with the help of other types of anti-incontinency surgeries.
Surgical treatment of overflow incontinence
This procedure aims to improve the bladder function. The treatment tries to eradicate remaining urine.
Surgical treatment of reflex incontinence