Incontinence

[slbaxter]

As a sufferer of incontinence and urgency dispite having a tvt fitted 3 years ago am looking at further surgery unfortunately.
Has anyone had similar and could give me any advice ? Am asking a sufferer of arthritis fibromyalgia and ibs x

[Mr Chris Harding]

I sometimes see patients with urgency symptoms after bladder outlet surgery (such as TVT) - my first line investigation is often urodynamics to see what the cause of the incontinence is and treatment can be directed from there.

[Prof Christopher Chapple]

You need to discuss this with your specialist to review all of the options and to make an objective decision. One option is to consider a sling using your own tissue, which is put in quite tight, but there is a high risk of difficulty voiding after this - but that may be a better option for you. If that was the case, you would have to then intermittent self-catheterisation.