Urethral Suspension—Transvaginal Suspensions
by Patricia Kellicker, BSN
Urethral suspension is a surgery to correct stress incontinence in women.
Reasons for Procedure
The goal of this surgery is to place the urethra and bladder back into the correct position. This will stop the uncontrolled leaking of urine.
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
What to Expect
Prior to Procedure
Your doctor will try to find out why you are leaking urine through:
Leading up to surgery:
You may receive a spinal anesthetic to numb your lower body. General anesthesia may also be used, in which case you will be asleep.
Description of Procedure
This procedure is done through the vagina. There are no visible cuts made in the skin. Special surgical tools will be passed up through the vagina. These tools will be used to place sutures near the bottom of the bladder. The threads will then be tied to the abdominal wall or the pelvic bone. The thread will pull the bladder back into its normal position. The threads will be left in place to continue to support the bladder.
Immediately After Procedure
After surgery, you will be monitored in a recovery room. You will most likely have a catheter in place to drain your urine.
How Long Will It Take?
How Much Will It Hurt?
Anesthesia will block pain during the surgery. After surgery, you may experience some pain or soreness. You will be given pain medication to relieve the discomfort.
Average Hospital Stay
You will most likely be sent home the same day.
At the Hospital
At first, your urine may look bloody. This will resolve over time.
When you are able to empty your bladder completely, the catheter will be removed. You may be asked to get up and walk around.
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
There are also steps you can take to reduce your chances of infection such as:
Avoid lifting and strenuous exercise for 6 weeks after surgery. This will allow healing to take place. Do not return to sexual activity or use tampons until your doctor says it is okay to do so.
Call Your Doctor
Contact your doctor if your recovery is not progressing as expected or you develop complications such as:
If you think you have an emergency, call for emergency medical services right away.
National Institute of Diabetes and Digestive and Kidney Diseases
Urology Care Foundation
Canadian Urological Association
The Canadian Continence Foundation
Surgical treatment for female stress urinary incontinence. National Association for Continence website. Available at: https://www.nafc.org/resource-center/surgical-treatment-for-female-stress-urinary-incontinence. Accessed December 18, 2017.
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Urinary incontinence. Family Doctor—American Association of Family Physicians website. Available at: https://familydoctor.org/condition/urinary-incontinence. Updated April 2014. Accessed December 18, 2017.
Urinary incontinence. Urology Care Foundation website. Available at:
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Urogynecologic surgical mesh. US Food & Drug Administration website. Available at: https://www.fda.gov/downloads/medicaldevices/safety/alertsandnotices/ucm262760.pdf. Accessed December 18, 2017.
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Last reviewed November 2018 by EBSCO Medical Review Board Adrienne Carmack, MD
Last Updated: 12/20/2014
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