Cholposuspension – this is a large operation in which the bladder is attached to the posterior abdominal wall.It is does via the vagina under local anaesthetic, and can be done as an outpatient procedure. Tension-free vaginal tape (TVT)– this is a more modern procedure, and basically has fwere side-effects, and higher success rate than a sling procedure.There is a chance that the procedure will have to be redone within 10 years.The procedure involves open surgery, and thus there is a recovery period of 2-4weeks, although patients may return home after 3-4 days.The sling is attached to the abdominal wall, and lifts up the top part of the urethra thus increasing pressure around this region and reducing incontinence. A sling is created, either from native body tissue (such as fibrous connective tissue from the rectum) or man-made materials (such as telfon – although these are not as effective as natural body tissue). Sling procedure – this is about 85% effective and is the procedure of choice for most women.You can surgically alter the position of the bladder or the urethra to relieve symptoms of this condition: Surgery – if pelvic floor exercises are unsuccessful, another option is surgery. It will not cure the condition, but will relieve symptoms in about 50% of cases, but has significant side effects, including nausea, vomiting and abdominal pain This occurs due to dysfunction of the muscles that usually hold the uterus in place.ĭuloxetine – is a SNRI (serotonin-norepinephrine reuptake inhibitor) that is usually used to treat depression.

A prolapsed uterus is basically where the uterus slips downwards – it may move so far that is protrudes out of the vaginal orifice. It is usually used to prevent prolapse of the uterus. Ring pessary – this is rubber/metal/plastic ring in which the cervix of the uterus sits. Intravaginal electrical stimulation may help, but many women find this unacceptable. Pelvic floor exercises – improves symptoms in 50% of cases

Post void dribble syndrome