Treatment goals
We distinguish leakage with coughing from a sudden urge to urinate, and explain which part surgery is intended to improve.
Gynecology
Surgical treatment for urinary incontinence
Surgery to reinforce supporting structures, depending on the cause of urine leakage.
What is urinary incontinence surgery?
This illustrates urethral support; the surgical method and materials vary by individual.
Stress incontinence is urine leakage when pressure is put on the abdomen, such as during coughing or exercise. Options such as surgery to support the urethra may be considered for this type. The treatment approach differs from that for leakage associated with a sudden urge to urinate.
- Which area is involved?
- The urethra, which carries urine out, and its supporting tissues
- How is it done?
- Tape surgery to support the urethra, or other methods
- What is the purpose?
- Improvement of urine leakage symptoms
The type of urine leakage affects the choice of surgery.
Incontinence surgery is not a one-size-fits-all treatment for every urinary concern. We first confirm the type, how non-surgical care has worked, urinary function, and any future pregnancy plans, then discuss whether surgery is needed.
You can hear an explanation during your visit, review what you need to know, and then decide.
Check these three things before deciding.
Tests and previous treatment
Voiding records, test results, and experience with training and medicine treatment are reviewed. Please also ask why further testing may be needed.
Plans for daily life going forward
Please tell us about pregnancy plans, work, and activity level. These can affect recovery time and treatment choices.
For tape surgery, the materials and risks are explained together.
How the urethra is supported
Methods that use synthetic tape place material to support the urethra from below. We confirm the insertion route and other surgical and non-surgical alternatives.
Materials that remain in the body
There are risks such as ongoing pain, difficulty urinating, exposure of the material, or injury to nearby organs. We also discuss the difficulty of removal if it becomes necessary, and the possibility of additional surgery.
After surgery, we also confirm that you can urinate.
Individual preparation guidance
Anesthesia, adjustments to medicines you take, whether you need to fast, and whether someone should go home with you are confirmed according to the surgical plan.
Early check after surgery
We check not only pain and bleeding but also whether you can pass urine comfortably. Needed observation and care depend on your condition.
Activity and follow-up care
You will be told when you may resume work, exercise, and sexual activity, and your recovery will be checked. If you have difficulty urinating or pain increases, contact the facility that performed the surgery.
Frequently Asked Questions
If I have surgery, will urine leakage stop for good?
Symptoms may remain or return, and new urinary discomfort can also occur. Please have the changes you may hope for and the limitations explained together.
Is it the same as laser treatment?
Surgery that inserts a tape and procedures that use energy are different. Discuss care based on evidence and suitability for your symptoms, not on the name of a treatment.
Feel free to bring your questions.
Please tell us what is bothering you and your previous examination and treatment history. Together we will confirm the care you need.
This is general medical information. Individual care plans and what is offered at the clinic are confirmed during consultation.