Incontinence
Stress Incontinence in Women: Non-Surgical and Surgical Options
Stress urinary incontinence (leakage with cough, sneeze, or exercise) is first treated with pelvic floor muscle training, often with a specialist physical therapist. If symptoms persist, options include a pessary, urethral bulking agents, or a midurethral sling — a 20-minute outpatient procedure with excellent long-term outcomes.
Medically reviewed by Dr. Angelo Gousse, MD — board-certified urologist (Florida).
Conservative therapy
A structured 12-week pelvic floor program produces meaningful improvement in 60–70% of women. Biofeedback and a continence pessary are useful adjuncts.
Procedural options
Urethral bulking is office-based with no incisions and minimal downtime. Midurethral slings have ~85% durable cure rates. Surgical decisions are individualized.
Frequently asked questions
- Are mesh slings safe?
- Midurethral slings remain the most studied incontinence procedure with strong long-term safety; risks are discussed and informed consent is obtained.