Urinary Incontinence: Surgical Treatments

A variety of surgical therapies have been developed for treatment of urinary incontinence. These include various sling procedures, bladder neck suspensions, and injection of bulking agent materials at the bladder neck. Artificial sphincter devices are used primarily in men with stress urinary incontinence. Surgical treatments for urge urinary incontinence include chemodenervation with botulinum toxin injection into the wall of the bladder, placement of neuromodulator devices, or urinary diversion. This chapter reviews the use of surigcal therapies for the treatment of urinary incontinence in older adult patients.