Involuntary voiding is never normal during the adult lifetime. Clinically, urinary incontinence can be categorized as either stress, urgency, or a mix of the two.

 

Inadequate urethral or bladder support by the pelvic floor leads to the development of stress urine incontinence. When there is a rise in intraabdominal pressure (as a result of heavy lifting or coughing, for example), the normal pressure of the bladder exceeds the subvesical resistance resulting in urine leakage.

 

The purpose of surgical treatment is to reinforce the insufficient part of the pelvic  floor using artificial materials (slings).  Once the incontinence has been addressed, synthetic materials result in the formation of a highly durable scar that can strengthen the pelvic floor.

 

Synthetic materials are always placed by an unnoticeable tiny skin incision or vaginal incision. After 10 years of follow-up, more than 80 percent of patients are satisfied. Therefore, surgery is a successful.

 

The procedure is performed in one day and is well tolerated(www.orweb.org).

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As the female pelvic floor is not completely closed, the place of pelvic viscera is supported by fascial structures and muscles. Changes in collagen structure and weaker pelvic floor muscles are responsible for pelvic visceral prolapse and dysfunction. Prolapse is surgically corrected using both mesh and natural tissue.

 

Whenever feasible, stress urine incontinence and prolapse are both treated together utilizing an integrated approach.

 

Urinary bladder operates as a low-pressure reservoir and must be effective in emptying. The voiding can be postponed for a certain period. When there is an urgent need to empty unpleasant feeling or finally , incontinence occurs. To achieve the optimal outcomes from the treatment, both medical care and topical medications are used.