SURGICAL OPTIONS FOR SUI AND ISD
Genuine SUI can be treated conservatively with Kegel exercises, biofeedback therapy and eventually by the pubo vaginal sling (PVS), an ambulatory and minimally invasive surgical procedure. In our practice the PVS that is being performed is the Tension free Vaginal Tape (TVT). Please see discussion on the TVT on this website.
ISD can initially be managed conservatively as well, but many will ultimately benefit from injections of collagen into the urethra to bulk (tighten) the sphincteric mechanism at the bladder neck. Men with ISD who continue to leak urine after a trial with conservative approaches, will benefit from a surgical implantation of an Artificial Urinary Sphincter (AUS).
Updated June 23rd, 2007