Surgical Treatment for Urinary Incontinence

urinary-incontinence-surgical-treatment-nyc-03Urinary incontinence, or involuntary urination, is any involuntary leakage of urine. Treatable medical or surgical conditions almost always are the cause for urinary incontinence. It is under-reported to medical practitioners because many view it as part of getting older or a minor annoyance. But in reality urinary incontinence should be addressed to rule out more serious health problems.

Causes of Urinary Incontinence

urinary-incontinence-surgical-treatment-nyc-01Typically men experience incontinence less often than women and urinary incontinence it affects older men but the onset of urinary incontinence can happen at any age. Some of the causes for urinary incontinence include drugs, radiation, or surgery used to treat prostate cancer. Additionally, an enlarged prostate is the most common cause of incontinence in men after the age of 40. Prostate cancer may also be associated with urinary incontinence and is common with all forms of prostate cancer treatments.


Urinary incontinence is treatable and often curable at all ages.  Treatments include urological procedures and surgical procedures that include slings and artificial sphincters.

Surgical Treatment

urinary-incontinence-surgical-treatment-nyc-04Incontinence problems caused by an enlarged prostate (also known as benign prostatic hyperplasia or BPH) or removal of the prostate gland may also be treated with surgery if the incontinence isn’t cured within a reasonable time as recommended by your doctor. Urinary incontinence surgery is an option for men experiencing chronic incontinence, have urinary tract infections that keep coming back or have moderate to severe blood in the urine that keeps coming back.

Surgery for severe stress incontinence that does not improve with behavioral methods includes:

  • Artificial sphincter: A silicone rubber device is fitted around the urethra (the tube that carries urine away your bladder) that can be inflated or deflated to control urination.
  • Urethral bulking: Material is injected around the urethra to control urination by closing a hole in the urethra or building up the thickness of the wall of the urethra.
  • Bulbourethral sling: A sling is placed beneath the urethra and attached to either muscle tissue or the pubic bone. This raises the urethra and gives it greater resistance to pressure from the belly.
  • Sacral nerve stimulation (SNS): The electrical stimulator under your skin sends pulses to the sacral nerve in your lower back that plays a role in bladder functions.

Is  Surgical Treatment Right For You?

urinary-incontinence-surgical-treatment-nyc-02Urinary incontinence surgery works for most people but it is most successful when the diagnosis is right, the cause of your symptoms can be resolved by surgery and of course, if your surgeon is experienced and skilled in urinary incontinence surgical treatment.

Patients need to have realistic expectations as urinary incontinence surgery treatment won’t always cure the symptoms, but it will usually reduce them. Some factors that may affect the success of surgery include weight problems, long-term cough, radiation therapy, inadequate nutrition, age and heavy physical activity.

Making the decision to undergo  Surgical Treatment is an important decision that needs a medical consultation. Contact us today at 212-541-6239 to schedule an appointment to discuss your options with the best Urinary Incontinence surgical doctor in NYC.

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