Surgical and non-surgical treatment for unexpectedly passing urine.
Urinary incontinence - or passing urine unexpectedly - can be embarrassing. Many people experience it because of weak pelvic muscles - generally caused either by old age, obesity or family history.
Previously, this potentially unpleasant condition could only be repaired with major surgery but we now offer relatively minor surgical solutions. An even less invasive injection treatment is also available. These interventions strengthen the urethra (the tube through which urine leaves the body) and do not usually require an overnight stay.
Unexpected and uncontrolled urinating can be embarrassing and often distressing. Stress urinary incontinence (more commonly called stress incontinence) occurs when urine leaks from your bladder as you laugh, cough or lift a heavy object.
If you decide to have your treatment with us, you will be looked after by an experienced multi-disciplinary care team.
Our patients are at the heart of what we do and we want you to be in control of your care. To us, that means you can choose the consultant you want to see, and when you want. They'll be with you every step of the way.
All of our consultants are of the highest calibre and benefit from working in our modern, well-equipped hospitals.
Our consultants have high standards to meet, often holding specialist NHS posts and delivering expertise in complex sub-specialty surgeries. Many of our consultants have international reputations for their research in their specialised field.
You will have a formal consultation with a healthcare professional. During this time you will be able to explain your medical history, symptoms and raise any concerns that you might have.
We will also discuss with you whether any further diagnostic tests, such as scans or blood tests, are needed. Any additional costs will be discussed before further tests are carried out.
We've tried to make your experience with us as easy and relaxed as possible.
For more information on visiting hours, our food, what to pack if you're staying with us, parking and all those other important practicalities, please visit our patient information pages.
Our dedicated team will also give you tailored advice to follow in the run up to your visit.
We understand that having any medical procedure, even one as relatively straightforward as this, can cause anxiety. Our experienced and dedicated medical staff will be there to reassure you throughout.
Bulking agents are designed to "tighten" the urethra to treat urinary incontinence. The bulking agents, such as collagen, are injected into the urethra by the consultant. Your consultant will use a cystoscope (a thin optical tube) to inject the substances directly into your urethra.
You don’t need any anaesthetic or sedation, although the latter can be administered if you feel you need it. If you want to be sedated you should raise this during your initial meeting with the consultant.
The procedure usually takes about 15 minutes, with no sedation required. Patients can go home as soon as they show they can urinate normally.
If you have a bulking injection you’ll be able to leave hospital as soon as you pass urine normally. For most people, this will be the first time they urinate after the injection.
Similarly, most people who have a TVT or TVT-O are able to leave hospital on the same day. Because you’ll be feeling drowsy after the anaesthetic you’ll need a friend or relative to take you home.
After this, you will be taken to your room or comfortable area where you can rest and recuperate until we feel you’re ready to go home.
If you had TVT or TVT-O you will feel some tenderness and soreness around the sites of the cuts. We’ll give you pain relief medication while you are with us and we will provide you with a supply of all the medicines your consultant feels you need to take home with you after you've left hospital, up to 14 days. This may be at an additional cost to some patients.
If you have a bulking injection you may experience a burning sensation when you urinate or have blood in your urine for a short time.
After a TVT or TVT-O operation you will probably need to take up to a week off work. You should avoid strenuous exercise and lifting for four to six weeks.
It’s likely that you’ll stop urinating unexpectedly immediately after each of these procedures.
Even once you’ve left hospital, we’re still here for you. If you have TVT or TVT-O your consultant is likely to want to see you after your treatment to see how you're doing. A follow up appointment will be made before you leave the hospital.
On rare occasions, complications following treatment can occur. The chance of complications depends on the exact type of operation you are having and other factors such as your general health. We will talk to you about the possible risks and complications of having this procedure and how they apply to you.
If you have any questions or concerns, we’re ready to help.
We are committed to delivering excellent individual care and customer service across our network of hospitals, clinics and specialist care centres around the UK. Our dedicated and highly trained team aim to achieve consistently excellent results. For us it's more than just treating patients, it's about looking after people.
The treatment described on this page may be adapted to meet your individual needs, so it's important to follow your healthcare professional's advice and raise any questions that you may have with them.
We have excellent road links to the M1 and A1(M), and are five minutes from Harpenden train station.
Main Switchboard: 01582 763 191
Self-pay treatment enquiries: 01582 714420
COVID-19 testing or antibody tests are not available as a standalone service at Spire Harpenden Hospital.