Urinary Incontinence

For those that do not respond to conservative treatment such as Kegel exercises and suffer urinary incontinence, surgical procedures offer a permanent solution. There are surgical options for both stress (involuntary secretion) and urge (overactive bladder) incontinence, but no surgery treats both simultaneously. It should be noted that urinary incontinence surgery is best to be had after pregnancy, if that is planned – otherwise the effects of the surgery may be undone during conception.

These procedures will be done laparoscopically with a single incision, which is minimally invasive and an optimal means of operating inside the patient with minimum scarring. Although especially uncommon with laparoscopy, there are possible side-effects of urinary incontinence surgery, which may include: temporary urination difficulty (urinary retention), urinary tract infection, and painful intercourse. Consultation with a healthcare provider will allow for more detailed risks and benefits of the surgery.

  • Tension-free mini sling
  • Laparoscopic bladder neck suspension
  • Urge incontinence is normally treated with non-surgical procedures including:
    • Pelvic floor exercises and magnetic chair: strengthens the pelvic floor muscles and simultaneously the bladder
    • Reduce acidic sustenance e.g. orange juice and tomato juice
    • Increase magnesium intake
    • Send a urine test to a lab to exclude urinary infection
    • Bladder drilling: practice holding the bladder and not going to the toilet
    • Use oestrogen cream if directed by doctor
    • Botox in the bladder wall
    • When non surgical procedures have not been successful there are surgical options to discuss

Recovery time is relatively short. Post-surgery recovery may require 1-3 days in hospital. A catheter might be required. Heavy lifting should be avoided, as it can cause damage.