Surgical Treatments for Incontinence

The approach to stress incontinence is usually surgical if conservative treatment, such as pelvic muscle exercise, has failed. These minimally invasive procedures, performed by gynecologists and urologists, have evolved dramatically over recent years. Surgical interventions to treat stress incontinence are generally designed to improve closure of the sphincter or support the bladder neck.

Sling ProcedureThis outpatient surgery essentially involves supporting the urethra with a sling or hammock. The surgeon uses the person’s own tissue or a synthetic material to create the sling.

Bulking Agent/Collagen Injection

This minor outpatient procedure is used for stress incontinence in women when the sphincter controlling outflow of urine is weakened or incompetent. This procedure is performed under local anesthesia. Collagen, synthetic sugars or gels may be injected into the area around the upper part of the urethra. These materials increase pressure on the urethra, which better compresses the sphincter.

The collagen used can be absorbed by the body over time, so the procedure may need to be repeated. Because this intervention is relatively noninvasive and inexpensive, it may be an appropriate treatment alternative to try before other surgical options.

Talk It Over With Your OB/GYN or Surgeon

If you are considering surgery for stress incontinence, ask your surgeon what his or her success rates have been for the proposed surgery. If surgery does not cure incontinence, it often does improve symptoms significantly.

This information is provided for your information. It is not medical advice and should not be relied upon as a substitute for visiting your doctor. If you need medical care, or have any questions, please contact your obstetrician-gynecologist.