Urinary incontinence, or involuntary leakage of urine, is a common and distressing condition affecting women of all ages, especially after childbirth, menopause, or pelvic surgeries. While it can be embarrassing and disruptive, modern urogynecology offers several effective and minimally invasive treatments that can significantly improve bladder control and quality of life.
At Rahee Health Care, Bibwewadi, Pune, Dr. Veena Chaudhari, a Consultant Senior Urogynecologist, specializes in advanced surgical solutions like sling procedures and other pelvic floor reconstructive surgeries. With her expertise in women’s pelvic health, she provides individualized, evidence-based treatments that help women regain control and confidence.
Urinary incontinence occurs when there is a loss of bladder control, leading to leakage of urine during daily activities such as coughing, sneezing, laughing, or exercising. It can also occur due to an overactive bladder, where the urge to urinate is sudden and uncontrollable.
Stress Urinary Incontinence (SUI): Leakage occurs during physical activities or pressure on the bladder.
Urge Urinary Incontinence (Overactive Bladder): A sudden urge to urinate followed by involuntary leakage.
Mixed Incontinence: A combination of stress and urge incontinence.
Overflow Incontinence: Bladder doesn’t empty completely, leading to dribbling.
These issues often result from pelvic floor muscle weakness, nerve injury, hormonal changes, or damage from childbirth.
Several physical and hormonal factors can contribute to urinary leakage, including:
Pregnancy and vaginal childbirth
Menopause and decreased estrogen levels
Pelvic organ prolapse
Obesity and chronic coughing
Pelvic surgery or radiation therapy
Neurological disorders (e.g., multiple sclerosis, spinal injury)
Dr. Veena Chaudhari emphasizes a thorough evaluation to determine the underlying cause before recommending treatment, ensuring long-term relief and functional improvement.
At Rahee Health Care, Pune, evaluation for urinary incontinence is done with compassion and confidentiality. The diagnostic process includes:
Detailed medical history and symptom review
Pelvic examination to assess muscle tone and prolapse
Urine tests to rule out infections
Urodynamic studies to measure bladder function and capacity
Ultrasound or cystoscopy if structural abnormalities are suspected
This comprehensive approach helps tailor the most effective treatment plan for each patient.
While mild cases can often be managed with non-surgical treatments, some patients benefit from surgical correction when conservative methods fail.
Initial management includes:
Pelvic floor (Kegel) exercises to strengthen bladder muscles
Bladder training and timed voiding
Weight management and dietary changes
Avoiding caffeine, alcohol, and smoking
Certain medications can relax bladder muscles or improve sphincter control in urge or mixed incontinence cases.
The sling procedure is one of the most successful surgical treatments for stress urinary incontinence.
A synthetic mesh or natural tissue sling is placed under the urethra to support it like a hammock. This helps close the urethra during physical activity, preventing urine leakage.
Mid-urethral sling (TVT/TOT): The most common and minimally invasive technique.
Autologous fascial sling: Uses the patient’s own tissue for support.
Single-incision mini-sling: A newer, smaller approach with faster recovery.
Sling surgery is performed under regional or general anesthesia and usually requires a short hospital stay and quick recovery.
If sling surgery isn’t suitable, other surgical procedures may be considered:
Bladder Neck Suspension (Burch Colposuspension): Lifts and supports the bladder neck to prevent leakage.
Bulking Agent Injections: Collagen or gel-like substances are injected near the urethra to tighten the closing mechanism.
Artificial Urinary Sphincter: Implanted device for severe incontinence cases.
Sacral Nerve Stimulation (SNS): Electrical impulses regulate bladder control in overactive bladder cases.
Each treatment option is discussed thoroughly to ensure patients make an informed choice best suited to their needs.
High success rates for stress incontinence
Short procedure time and rapid recovery
Long-term improvement in bladder control
Enhanced confidence and quality of life
Minimally invasive options with minimal scarring
After sling or related surgery, most patients recover within a few days and resume normal activities within a week. Dr. Chaudhari provides detailed guidance on:
Avoiding heavy lifting or strenuous exercise for a few weeks
Maintaining good hydration and bladder hygiene
Performing pelvic floor exercises as advised
Follow-up visits are essential to monitor healing and ensure the best long-term results.
Dr. Veena Chaudhari is a Senior Consultant Urogynecologist with extensive experience in diagnosing and treating female urinary disorders. At Rahee Health Care, she combines advanced surgical expertise with a compassionate and personalized approach to women’s pelvic health.
Specialist in urogynecology and female pelvic floor reconstruction
Expertise in sling procedures and minimally invasive surgeries
Evidence-based, ethical, and confidential patient care
Focus on restoring comfort, confidence, and quality of life
You should consult a Urogynecologist in Bibwewadi, Pune, if you experience:
Frequent urinary leakage during physical activity or laughter
Urgency or inability to control urination
Recurrent urinary tract infections
Discomfort or bulging sensation in the pelvic region
Early treatment not only prevents worsening of symptoms but also ensures faster recovery and better outcomes.
Living with urinary leakage can be frustrating and impact every aspect of life. The good news is that effective, safe, and advanced treatments are available. At Rahee Health Care, Bibwewadi, Pune, Dr. Veena Chaudhari provides comprehensive care for urinary incontinence, including sling surgeries and other corrective procedures, helping women lead more confident and fulfilling lives.
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