Urinary Incontinence Surgeries

For example, retropubic midurethral slings have a higher risk of bladder perforation and voiding dysfunction than transobturator slings, according to EAU guidance.

For artificial urinary sphincters, mechanical problems and the need for future revision can occur, making long-term follow-up important.

Can Urinary Incontinence Return After Surgery?

Surgery can significantly improve or control urinary leakage, but it does not guarantee permanent continence for every patient.

Incontinence may recur because of ageing, changes in pelvic tissues, new bladder problems, surgical failure, or other underlying conditions. Some patients may require additional treatment or a second procedure.

Patients who develop recurrent leakage after previous surgery should undergo careful evaluation before another operation is selected.

When Should You Consult a Urologist?

Urinary leakage should not simply be accepted as a normal part of ageing. Consult a urologist if leakage:

• Happens frequently
• Interferes with work or exercise
• Causes embarrassment or affects social activities
• Occurs after prostate surgery
• Is associated with difficulty emptying the bladder
• Is accompanied by recurrent urinary infections
• Continues despite pelvic floor exercises or other conservative treatment

Early evaluation can help identify the type of incontinence and determine whether non-surgical or surgical treatment is appropriate.

Frequently Asked Questions

Is urinary incontinence surgery safe?