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Surgery for Stress Urinary Incontinance in Women

March 8, 2025
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Surgery for Stress Urinary Incontinance in Women

Surgery May Provide a long-term solution for women with stress Urinary Incontinance when other tretments do's't work. Learn about your options for surgery.

By Mayo Clinic Staff

Stress Urinary Incontinance is the loss of Bladder Control when you Exert Pressure on your Bladder by Cough, Sneezing, Laughing, Exercising or Lifting Somenting Heavy.

Usually, Stress Incontinence Can Be Treated With A Number of Conservative Treatments. These include lifestyle changes, exercises, weight loss or devices inserted into the vagina to support the bladder. When these options do't work, surgery may be an option for women with bothsome stress incontinance.

Although surgery has a higher risk of complications than other therapies, it may provide a long-term solution. Finding the best option for stress incontinence surgery depends on the benefits and risks associated with each procedure, as well as your particular health and treatment before.

Treatment Goal

If you have stress incontinance, pressure on your Bladder Affects How Well the Urethra and Bladder Neck Function. The urethra is the tube that carries urine out of the bladder. The bladder neck is where the urethra joins the bladder. A group of Muscles Called The External Urethral Sphinter Help Control the release of urine by closing the urethra.

The treatment goal of surgery is to support the urethra and bladder neck. This Extra Support Helps Keep the Urethra Closed when you Exert Pressure, So that you don't leak urine.

Possible Risks

Like any surgery, urinary incontinance surgery come with risks. Although Uncommon, Potential Complications Include:

  • Temporary Difentialy Urinating
  • Temporary Difability Emptying Your Bladder (Urinary Retention)
  • Development of overactive Bladder
  • Urinary tract infection
  • Wound infection
  • Difacity or Painful sex
  • Surgical Material Sticking Out into the Vagina
  • Groin Pain

Talk to your Health Care Professional and Surgeon About The Possible Risks and Benefits of Your Surgical Options.

Other things to consider

Before deciding about surgery, consider these facts:

  • Get an accurate diagnosis. Different types of invoice require different therapies. Your Health Care Provider Might Refer You To An Incoming Specialist (Urogynecologist or URLOGIST) for Further Diagnostic Testing.
  • Undrstand that surgery only corrects the problem it's designed to treatment. Surgery to Treat Stress Incontinance does not treat the sudden, Severe Urge to Urine (Overactive Bladder). If you have mixed incontinance – a combination of stress incontinence and overactive Bladder – You'll Likely Need Additional Treatments.
  • Think About Your Plans for Having Children. Your doctor might recommend waiting for surgery until you're finished with childbearing. The strain of pregnancy and delivery on your Bladder, Urethra and Supportive Tissues Might Undo The Benefits of a Surgical Fix.

Slings

The most common procedure uses a slings to support the urethra or bladder neck. The sling is usually made from a synthetic material or a strip of your own body tissue.

Your surgeon will discuss the benefits and risk of different surgical materials and different approaches for the placement of a sling. Although rare, a synthetic mesh may erode.

Recovery Times will vary with different procedus. Your surgeon may recommend 2 to 6 weeks of healing before you return to regular daily activities. You'll also receive instructions on when you can resume exercise and sexual activity.


Retropubic slings


Transobturarator Sling

Tension-free slings

A tension-free slings are a mesh usually made from a synthetic material called polypropylene. To support the urethra, the sling functions like a hammock and is help in place by body tissues rather than stitches. During the healing process, scar tissue forms in and around the mesh to keep it from moving.

For a tension-free slings procedure, your surgeon will likely recommend one of these approaches:

  • Retropubic procedure. The surgeon makes a small cut (Incision) Inside the Vagina to have access to the urethra. There are also two small incisions about the public bone, just to the right and left of the center. The surgeon uses a needle to pass Each end of the Sling from the Vagina to Abdomen. The Sling is help in place by the soft tissue along its path. Absorbable stitches close the vaginal incision, and the incisions on the skin may be seled with glue or stitches.
  • Transobturator procedure. The surgeon makes a small incision in the vagina and small incisions in the right and left groin. The surgical process is similar to the retropubic approach, but the mesh passes through the groin muscles raather than the abdominal wall.

Both Sling procedus are safe and effective. But the transobturarator slings may not work as well if you also need other processes to fix pelvic floor problems.

Another tension-free slings is the single-encision mini procedure. The surgeon makes a single small cut in the vagina. A small mesh hammock is suspended from tissues the pelvic region. The surgeon takes care to avoid the groin muscles. The results of the single-incision mini procedure are generally less effective. More research is needed to determine the safety and effectiveness of this method.

Conventional slings

A conventional slings uses tissue from your own body to support the bladder neck. The surgeon collects the tissue to make the slings from either your abdomen or thigh. The surgeon then makes an incision in the vagina to place the sling below the urethra at the bladder neck. From an increase in the abdomen, the surgeon stitches each end of the abdominal wall.

A conventional Sling Typical requires a larger incision a tension-free slings. You might need an overnight stay in a hospital and usually a longer recovery period. You may also need a temporary Catheter after surgery while you heal.

This procedure is associated with a higher risk of Differentya Emptying the Bladder. Therefore, it's typical reserved for women who have had another incontinance procedure but still experience urinary continentation.

Suspension procedus


Bladder Neck Suspension

Suspension Procedures Provide Support for the Urethra or Bladder Neck by Lifting Tissues Around the Urethra towed structures in the pelvis.

The most common method is the burch procedure. The surgeon attaches one end of surgical threads to the outer wall of the vagina and the other end to ligaments near the top of the pelvic bone. The stitches (sutures) essentially suspend the vagina to the pelvic ligament. When the sutures are tightened, the vagina is shifted up to support the bladder neck from below.

Suspension procedus are performed through an incision in the lower abdomen or through several small incisions (laparoscopic surgery). With a laparoscopic procedure, the surgeon uses a video camera and tiny instruments attached to tubes. This usually results in a shortr recovery period, but laparoscopic surgery may not be as effective as an open procedure.

One step at a time

Finding an effective remedy for stress Urinary Incontense Might Take Take, with Several Steps Along the way. If a conservative treatment isn Bollywood for you, ask your doctor if there might be a surgical option for you.




 

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