Stephen J. Schueler, M.D.

Incontinence Urinary Surgery

Surgery for urinary incontinence focuses on repairing weak tissues in the pelvic area.

Surgery for urinary incontinence may include:

  • Bladder neck suspension:
    • The front of the bladder is surgically attached to a ligament or cartilage in the pelvic bone.
    • This supports the bladder and urethra, so that they do not fall against the muscles in the pelvic floor.
  • Sling procedure:
    • A strip of muscle is removed from the abdomen.
    • The muscle is transplanted beneath the urethra, which compressed the urethra, preventing urine from leaking
  • Artificial urinary sphincter:
    • A fluid-filled ring is implanted around the neck of the bladder, which connects to the urethra.
    • The filled ring keeps the urethra tightly closed until you need to urinate.
    • To urinate, you press a valve under your skin, which deflates the ring, allowing urine to pass.
  • Bulking material injections:
    • A thick solution is injected around the urinary sphincter, tightening the seal around the sphincter and preventing urine from leaking.

Continue to Incontinence Urinary Vaginal Cone

Last Updated: Jan 6, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Incontinence Urinary References
  1. Nuotio M, Jylha M, Luukkaala T, Tammela TL. Urgency, urge incontinence and voiding symptoms in men and women aged 70 years and over. BJU Int. 2002 Mar;89(4):350-5. [11872023]
  2. Siegel SW, Catanzaro F, Dijkema HE, Elhilali MM, Fowler CJ, Gajewski JB, Hassouna MM, Janknegt RA, Jonas U, van Kerrebroeck PE, Lycklama a Nijeholt AA, Oleson KA, Schmidt RA. Long-term results of a multicenter study on sacral nerve stimulation for treatment of urinary urge incontinence, urgency-frequency, and retention. Urology. 2000 Dec 4;56(6 Suppl 1):87-91. [11114569]
  3. Zinner N, Harnett M, Sabounjian L, Sandage B Jr, Dmochowski R, Staskin D. The overactive bladder-symptom composite score: a composite symptom score of toilet voids, urgency severity and urge urinary incontinence in patients with overactive bladder. J Urol. 2005 May;173(5):1639-43. [15821526]
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