Surgical Treatment Options

Woman outdoorsSurgical Treatments for Stress Incontinence

Burch Retropubic Urethopexy
Resupporting the bladder base by suturing the vagina to a ligament on the public bone; may be performed through an abdominal incision or a laparoscope

Suburethral Sling (TVT®, Monarc®)
Placing a synthetic or natural strap of material to support the urethra and prevent stress incontinence. A less invasive mid-urethral sling may be performed on an outpatient basis under local anesthetic. These sling products differ in technique and that location that they are placed.

Periurethral Injections
An office-based procedure of injecting material next to the bladder opening to prevent stress incontinence

Suprapubic Catheter
Placing a catheter into the bladder through the abdomen to drain the bladder after surgery

Neuromodulation
Surgically inserting electrodes into the nerves that control the bladder to treat overactive bladder, urinary retention and urinary frequency.

Surgical Procedures to Correct Prolapse

Anterior Colporrhaphy
Vaginally reestablishing supports between the bladder and vagina to correct a cystocele

Paravaginal Repair
Attaching the vaginal wall to the pelvic sidewall to correct a cystocele, either vaginally or abdominally

Posterior Colporrhaphy
Vaginally reestablishing supports between the vagina and the rectum to correct a rectocele

Halban's Culdoplasty
Closing the space between the vagina and rectum through an abdominal incision

Transvaginal Enterocele Repair
Closing the space between the vagina and rectum and resuspending the top of the vagina through a vaginal incision

McCall's Culdoplasty
Another procedure for closing the space between the vagina and rectum and resuspending the top of the vagina through a vaginal incision

Moschowitz Culdoplasty
Another procedure for closing the space between the vagina and rectum through a vaginal incision

Uterosacral Ligament Suspension
Suspending the top of the vagina to the uterosacral ligaments, either abdominally, vaginally or laparoscopically

Sacrospinous Vaginal Vault Suspension
Vaginally attaching the top of the prolapsed vagina to a ligament in the pelvis

Sacral Colpopexy
Abdominally or laparoscopically attaching the top of the prolapsed vagina to the sacrum using either synthetic or natural material

Illiococcygeal Fascial Attachment
Vaginally attaching the top of the prolapsed vagina to pararectal supportive material

Total Colpectomy
Correcting prolapse by completely closing the vagina

Total Colpocleisis
Closing the vagina while leaving side channels to drain the uterus

Surgical Procedures to Correct Anal Incontinence

Overlapping Anal Sphincteroplasty
Correcting fecal Incontinence by reattaching divided muscle edges around the anus

Other Surgical Procedures (That may be performed at time of Prolapse Surgery)

Total Abdominal Hysterectomy (w/ or w/o bilateral salpingo/oophorectomy)
Removing the uterus, cervix, tubes and ovaries through a vaginal incision

Bilateral Salpingo/Oophorectomy
Removing the tubes and ovaries, either abdominally, vaginally or laparoscopically