Urinary Incontinence Surgeries

3. Burch Colposuspension

Burch colposuspension is another surgical treatment for female stress urinary incontinence. The procedure supports the tissues around the bladder neck and urethra.

It can be performed through an open or laparoscopic approach. Although newer procedures are commonly used, colposuspension remains an established surgical option for appropriately selected patients.

The choice depends on the patient's condition, previous surgeries, associated pelvic floor problems, and treatment preferences.

4. Urethral Bulking Agents

Urethral bulking involves injecting a material around the urethra to improve its ability to prevent urine leakage.

This procedure is generally less invasive than reconstructive surgery and may be considered for selected patients. However, improvement may not be as durable as with some surgical procedures, and repeat treatment may be required.

Bulking agents can be useful when a patient wants a less invasive option or when other procedures may not be appropriate.

5. Male Sling Surgery

Men can develop stress urinary incontinence, particularly after prostate surgery. A male sling may be considered in selected patients with mild-to-moderate post-prostatectomy stress urinary incontinence.

The sling supports or repositions the urethra to reduce urine leakage during physical activity.

According to current EAU guidance, non-adjustable transobturator male slings may be offered to selected men with mild-to-moderate post-prostatectomy stress urinary incontinence. Severe leakage, previous radiotherapy, or certain previous procedures may reduce the likelihood of success.