Treatment is aimed at trying to improve muscle strength through pelvic floor exercises. A supervised, structured programme is usually more effective than self-taught exercises. If this fails, then surgery may be offered in the form of a “tape” or “mid-urethral sling”. There are different types of tape including TVT (tension free vaginal tape) and TOT (trans obturator tape) but they are all effective at curing or reducing stress urinary incontinence in 90% of women. Sometimes a tape is not the right operation and other procedures may be considered such as bladder neck bulking injections. Your surgeon will help you decide which approach is right for you.
