When non-surgical and invasive treatments don't correct urinary incontinence, several surgical options may provide relief.
- Sling procedure – during this procedure, your surgeon creates a sling or hammock around your bladder neck and urethra to support and improve urethra closure, especially during physical activity, coughing or sneezing. The sling is made from your body's own tissue, or it can be a synthetic material or mesh.
- Bladder neck suspension – this procedure supports your urethra and bladder neck.
- Pelvic floor reconstruction –The pelvic floor consists of the muscles, ligaments, connective tissue and nerves that support and control the rectum, uterus, vagina and bladder. The pelvic floor can be damaged or weakened by childbirth, repeated heavy lifting, chronic disease or a prior surgery. This may result in prolapsed (or protruding) organs into the vagina. A bladder prolaspe (cystocele) can cause urinary incontinence, difficulty emptying the bladder and an overactive bladder. An intestinal (enterocele) and/or rectal (rectocele) prolapse can cause vaginal discomfort and constipation. Pelvic floor reconstruction for bladder prolapse can repair or correct the prolapse, returning the bladder to a more normal anatomical position and strengthen the structures around the prolapsed area to maintain support. Similar reconstruction for enterocele and rectocele can help restore this anatomy to the correct position.