Surgical Urinary Incontinence Treatments

Burch Colposuspension

The procedure involves placing sutures close to the urethra to lift the urethra upwards. The procedure is performed through a small abdominal incision or laparoscopic. It is not as common today since the development of the mid-urethral slings.


This is a minor outpatient procedure that involves placing a lead (wire) near to the backbone. To gently stimulate the sacral nerves that go to your bladder, this wire will be connected to a stimulation device. At first, the stimulator will be outside your body and can be worn around your waist (like a pager or cell phone).

A simulator can be implanted under your skin like a pacemaker instead of the external stimulator if significant improvement of your bladder symptoms is observed. This procedure is employed for the treatment of overactive bladder, urge urinary incontinence and bowel incontinence.

Midurethral Sling Procedure

Also known as tension-free vaginal tape procedure, this procedure is an outpatient, minimally invasive form of sling surgery with a high success rate.

The sling is a tape made of synthetic material, it is placed under the urethra, where it acts as a hammock, compressing the urethra to prevent leaks that happen from the activities of daily living.

Botox Bladder injections

This is a minor procedure that can be performed under sedation in the office or a surgery center. To help with overactive bladder symptoms, including urinary incontinence, it involves placing a camera in the bladder (i.e. cystoscopy) and injecting the bladder wall with Botox.

Periurethral injections

This procedure involves the injection of a bulking agent into the area around the bladder neck to tighten it. Bulking materials may be injected into the tissue around the urethra to add bulk and keep the sphincter muscles closed and stop urine from leaking. This procedure can be performed in the office.

Posterior Tibial Nerve Stimulation (Uroplasty)

This treatment involves putting a tiny needle (similar to an acupuncture needle) close to the tibial nerve (above the ankle joint) and using gentle electrical impulses to stimulate the nerve.

The treatment session is 30 minutes. To achieve the treatment goal, several treatment sessions are required. This is an extremely simple type of treatment which is performed in the office.

Fecal Incontinence (Accidental Bowel Leakage)

Anal Sphincter repair

This procedure is an outpatient procedure and involves repairing the injured anal sphincter muscles with sutures.


As described above.

AZ Urogynecology and Pelvic Health Center

About AZ Urogynecology and Pelvic Health Center

The AZ Urogynecology and Pelvic Health Center is devoted exclusively to the diagnosis and treatment of all urogynecologic, pelvic floor disorders and complex gynecologic problems.

They offer a wide array of advanced diagnostic tools and specialized treatment options.

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Last updated: Oct 21, 2019 at 5:15 AM


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