Urinary Incontinence & Utero-Vaginal Prolapse Surgery

Stress Urinary Incontinence

Stress urinary incontinence refers to uncontrolled urine loss or leakage that occurs as a result of physical activities like coughing, sneezing or jumping. These activities place pressure on the bladder, resulting in urine leakage, especially if the bladder is full. Occasionally, women may experience leakage when they are pregnant, as the growing uterus presses down on the bladder. Drinking too much alcohol, caffeine or fluids can also increase urine production and the risk of leaking before one reaches the bathroom.

Stress urinary incontinence is first managed with physiotherapy. If this fails or if the condition is severe, then surgery may be recommended. Tension-free vaginal tape-obturator (TVT-O) is the recommended procedure for urinary incontinence.

Uterine Prolapse

Uterine prolapse occurs when the pelvic floor ligaments and muscles become damaged or weakened, leading to the uterus protruding into and even out of the vagina. This is usually caused by a difficult childbirth or insufficient female hormones (oestrogen), such as in post-menopausal women, although women of all ages can also be affected.

Physiotherapy in the form of pelvic floor exercises may be helpful for mild prolapse. However, if symptoms do not improve or are severe and start to affect one’s lifestyle and daily activities, then surgery is needed. Vaginal hysterectomy, pelvic floor repair (with or without a mesh) and sacrospinous fixation are some of the various therapeutic surgeries that we perform.

Uterine prolapse
Tension-free vaginal tape obturator (TVT-O) system for urinary stress incontinence

Urge incontinence

Urge incontinence is a condition where one feels a sudden intense urge to urinate and there is an involuntary loss of urine before one is able to reach the toilet. This can be medically treated.

Urge incontinence
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