Urinary incontinence surgery
Surgeries/Urological/Urinary incontinence

Urinary incontinence surgery

Surgical treatment of urinary leakage, notably by placement of suburethral slings, after a complete urodynamic assessment.

What is it?

Urinary incontinence, particularly stress incontinence (leakage when coughing, laughing, carrying loads or during sport), is a common problem that impairs quality of life. When pelvic floor rehabilitation is not sufficient, surgical treatment may be proposed. The reference technique in women is the placement of a suburethral sling: a small synthetic tape is placed under the urethra through very short incisions, to support it during exertion and prevent leakage. It is a short procedure with a generally straightforward recovery. Other techniques exist and are chosen according to the type of incontinence and the results of the assessment. Before any surgery, a complete urodynamic assessment is carried out to characterize the mechanism of the leakage precisely and propose the most appropriate treatment. At Clinique Pasteur Tunis, this care benefits from a major asset: the urodynamic testing center integrated within the clinic, which ensures a seamless pathway from the initial assessment through to the procedure and follow-up.
Urinary incontinence surgery

When is it indicated?

Stress urinary incontinence that is troublesome in daily life

Leakage when coughing, laughing, carrying loads or during sport can become very disabling. Placement of a supporting sling remedies this in a lasting way.

Failure or insufficiency of pelvic floor rehabilitation

Pelvic floor rehabilitation is always the first step. When it is not enough to control the leakage, surgery takes over.

Leakage confirmed and characterized by urodynamic assessment

Before any procedure, a specialized assessment precisely analyzes the mechanism of the leakage in order to choose the technique best suited to each patient.

Mixed incontinence with a predominant stress component

When stress leakage and urgency coexist, surgery is proposed if the stress-related component predominates, as that is what it corrects best.

Preparation

1Prior urodynamic assessment at the clinic's testing center
2Urine analysis: the urine must be sterile
3Anesthesia consultation
4Fasting for 6 hours before the procedure

Procedure

1

General or spinal anesthesia depending on the case

2

Very short incisions allowing passage of the sling

3

Positioning of the sling under the urethra, without excessive tension

4

Verification of correct positioning

5

Monitoring of the return of urination before discharge

Duration

About 30 minutes

Aftercare & Recovery

Returning home is possible the same day or the next day. Daily activities resume quickly; strenuous physical exertion is avoided for a few weeks. The improvement in urinary comfort is most often immediate and lasting.

Risks and side effects

Temporary difficulty urinating in the first days
Temporary urgency, fading over time
Short-lived local discomfort at the small incisions

These risks remain rare. Your surgeon will inform you in detail before the procedure.

Request a Quote

Contact us to schedule a consultation or receive a personalized quote.

Request a Quote +216 36 402 000

At a glance

Duration: About 30 minutes
Preparation: Required
Dedicated specialist team