{"id":4430,"date":"2026-06-28T21:46:57","date_gmt":"2026-06-28T19:46:57","guid":{"rendered":"https:\/\/www.haab-urologie.fr\/test\/urinary-incontinence-surgery"},"modified":"2026-10-14T22:44:44","modified_gmt":"2026-10-14T20:44:44","slug":"urinary-incontinence-surgery","status":"publish","type":"expertise","link":"https:\/\/www.haab-urologie.fr\/en\/urologue-expertise\/urinary-incontinence-surgery","title":{"rendered":"Urinary incontinence surgery"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"<p>Regaining urinary control and quality of life Discover the urinary incontinence surgery options offered by Professor Fran\u00e7ois Haab: minimally invasive techniques, lasting results and personalized care to regain optimal continence.\u2026<\/p>\n","protected":false},"featured_media":4515,"menu_order":0,"template":"","class_list":["post-4430","expertise","type-expertise","status-publish","has-post-thumbnail","hentry"],"acf":{"haab_subtitle":"Regaining urinary control and quality of life","haab_intro":"Discover the urinary incontinence surgery options offered by Professor Fran\u00e7ois Haab: minimally invasive techniques, lasting results and personalized care to regain optimal continence.","haab_related_expertises":"","haab_related_besoins":"","haab_card_excerpt":"Discover the urinary incontinence surgery options offered by Professor Fran\u00e7ois Haab: minimally invasive techniques, lasting results and personalized care to regain optimal continence.","haab_form_shortcode":"","haab_primary_label":"consultation appointment","haab_primary_url":"https:\/\/www.doctolib.fr\/chirurgien-urologue\/paris\/francois-haab\/booking\/telehealth-suggestion?specialityId=177&profile_skipped=true&bookingFunnelSource=external_referral","haab_secondary_label":"","haab_secondary_url":"","haab_card_image":4515,"haab_hero_image":4368,"haab_videos":[{"url":"https:\/\/www.youtube.com\/watch?v=UqcoUlPMxtw","title":"My review in video"},{"url":"https:\/\/www.youtube.com\/watch?v=XOKBxIlXJjo","title":"My review in video"},{"url":"https:\/\/www.youtube.com\/watch?v=4C2b4mco0rA","title":"Is it normal to have pain after the operation?"},{"url":"https:\/\/www.youtube.com\/watch?v=8ZoNnuptMvg","title":"Synthetic strip or aponeurotic sling?"}],"haab_video_eyebrow":"","haab_video_section_title":"","haab_video_section_text":"","haab_faq_title":"FAQ \u2013 Frequently Asked Questions","haab_faq_items":[{"question":"When should incontinence surgery be considered?","answer":"Surgery is recommended when incontinence persists despite well-conducted pelvic floor rehabilitation and impacts quality of life. It primarily addresses stress incontinence, following a comprehensive assessment to determine the underlying mechanism."},{"question":"What surgical techniques are available?","answer":"The main options are transurethral sling placement (TOT\/TVT) in women, periurethral bulking agents, and artificial urinary sphincter devices for severe incontinence, particularly in men. The choice depends on the type of incontinence and your medical history."},{"question":"Is it normal to have pain after the operation?","answer":"Moderate and temporary pain is common in the days following the procedure and is relieved with simple painkillers. Persistent or severe pain is not normal and should prompt a follow-up consultation."},{"question":"What results can be expected from surgery?","answer":"Success rates for suburethral slings exceed 85% at 5 years for stress incontinence. The artificial sphincter provides social continence to more than 90% of patients. Results depend on a well-defined indication, hence the importance of preoperative assessment."}],"haab_sidebar_rdv_title":"","haab_doctor_band_title":"","haab_doctor_band_text":"","haab_doctor_band_points":null,"haab_doctor_band_image":"","haab_page_cta_title":"","haab_page_cta_text":"","haab_closing_highlights":null,"haab_blocks":[{"acf_fc_layout":"image_text_block","eyebrow":"","title":"What is urinary incontinence?","content":"Urinary incontinence is the involuntary loss of urine. It can be triggered by physical exertion (coughing, sports, etc.), a sudden and uncontrollable urge to urinate, or a malfunction of the sphincter. It can significantly impact quality of life: social embarrassment, limitations in activities, and intimate discomfort. When medical treatments or rehabilitation are insufficient, surgery can offer <strong>lasting relief<\/strong> .","image":4368},{"acf_fc_layout":"image_text_block","eyebrow":"","title":"The different types of incontinence","content":"<strong>1.<\/strong> <strong>Stress urinary incontinence (SUI<\/strong> <strong>)<\/strong><ul><li> Urine loss during exertion: coughing, laughing, brisk walking, carrying heavy loads.<\/li><li> Often linked to a lack of urethral support or weakness of the pelvic tissues.<\/li><\/ul> <strong>2. Urge incontinence (UIU)<\/strong><ul><li> Urgent urges that cannot be postponed.<\/li><li> Associated with overactive bladder or involuntary detrusor contractions.<\/li><\/ul> <strong>3. <\/strong> <strong>Mixed<\/strong> <strong>incontinence<\/strong><ul><li> Association of effort + urgency.<\/li><\/ul> <strong>4. <\/strong> <strong>Incontinence due to sphincter<\/strong> <strong>insufficiency<\/strong><ul><li> Continuous or near-continuous leakage linked to a weak sphincter (prostatectomy, previous surgery\u2026). <u style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';\"><\/u><\/li><\/ul>","image":3475},{"acf_fc_layout":"video_section_block","eyebrow":"","title":"Expertise in urinary incontinence in men","text":"","video_url":"https:\/\/www.youtube.com\/watch?v=UqcoUlPMxtw"},{"acf_fc_layout":"image_text_block","eyebrow":"","title":"When should surgery be recommended?","content":"Surgery is considered when:\n\nPenetical rehabilitation has not provided sufficient improvement.\nMedications are ineffective or poorly tolerated.\nUrinary incontinence significantly impacts daily life.\nUrological assessment (clinical examination + urodynamics) confirms an anatomical or functional cause that may benefit from surgical intervention.","image":3179},{"acf_fc_layout":"text_block","eyebrow":"","title":"The main surgical options","content":"Depending on the cause of the incontinence, several techniques can be offered <strong>:<\/strong> <strong>1.<\/strong> <strong>Suburethral sling (TVT\/TOT) \u2014 female<\/strong><ul><li> It supports the urethra like a \"hammock\".<\/li><li> Indicated for female stress incontinence.<\/li><li> Minimally invasive technique, fast results.<\/li><\/ul> <strong>2. <\/strong> <strong>Periurethral<\/strong> <strong>balloons<\/strong><ul><li> Implantation of two balloons around the urethra to increase resistance.<\/li><li> Adjustable upon consultation.<\/li><li> An interesting solution in cases of moderate SUI or strip failure.<\/li><\/ul> <strong>3. Artificial urinary sphincter (AUS) \u2014 primarily in men<\/strong><ul><li> Standard treatment for severe sphincter insufficiency.<\/li><li> A cuff surrounds the urethra and deflates during urination.<\/li><li> Very good results after prostatectomy.<\/li><\/ul> <strong>4. <\/strong> <strong>Periurethral<\/strong> <strong>injections<\/strong><ul><li> Filling around the urethra to improve coaptation.<\/li><li> A minimally invasive solution, but the effect is sometimes temporary.<\/li><\/ul> <strong>5. <\/strong> <strong>Prolapse and incontinence<\/strong> <strong>surgeries<\/strong><ul><li> Some cases of pelvic organ prolapse cause or worsen incontinence.<\/li><li> Surgical correction of prolapse and possible placement of a sling.<\/li><\/ul><hr \/><h3><\/h3><h3> <strong>Procedure of the intervention<\/strong><\/h3> <strong>1. Before surgery<\/strong><ul><li> Urodynamic assessment<\/li><li> ECBU (infection screening)<\/li><li> Anesthesia consultation<\/li><li> Discussion of the choice of technique according to the patient's profile<\/li><\/ul> <strong>2. The day of the operation<\/strong><ul><li> The procedure is often minimally invasive and quick (20 to 60 min).<\/li><li> Performed under local, spinal or general anesthesia.<\/li><\/ul> <strong>3. After the procedure<\/strong><ul><li> Return home the same day or the next day.<\/li><li> Rapid resumption of daily activities according to the procedure.<\/li><li> Remote monitoring to assess effectiveness.<\/li><\/ul>"},{"acf_fc_layout":"video_section_block","eyebrow":"","title":"Expertise in urinary incontinence in women","text":"","video_url":"https:\/\/www.youtube.com\/watch?v=XOKBxIlXJjo"},{"acf_fc_layout":"list_block","eyebrow":"","title":"Advantages of surgery","text":"","items":[{"item":"Minimally invasive procedures allowing for rapid recovery and a return to activities within the first few days."},{"item":"Effective solutions that directly target the cause of leaks to restore lasting continence."},{"item":"Significant improvement in quality of life, intimate comfort and daily confidence."}]},{"acf_fc_layout":"text_block","eyebrow":"","title":"Risks and limitations","content":"Like any intervention, there are limits:<ul><li> Post-operative infection or hematoma<\/li><li> Urinary retention (rare) depending on the blood pressure or device<\/li><li> Transient pain (groin, perineum, surgical area)<\/li><li> Risk of failure or partial improvement depending on the technique<\/li><li> Specific risks: erosion (strip), mechanical dysfunction (AUS)<\/li><\/ul> The precise choice of technique strongly influences the result: hence the importance of an expert evaluation."},{"acf_fc_layout":"video_section_block","eyebrow":"Expertise","title":"Incontinence surgery: Is it normal to experience pain after the operation? | Dr. Haab","text":"","video_url":"https:\/\/www.youtube.com\/watch?v=4C2b4mco0rA"},{"acf_fc_layout":"list_block","eyebrow":"","title":"Specialist in urinary incontinence","text":"","items":[{"item":"Proficiency in minimally invasive techniques (strips, balloons, AUS)."},{"item":"Personalized care based on urodynamic assessment."},{"item":"Careful monitoring before and after the procedure to optimize results."}]},{"acf_fc_layout":"text_block","eyebrow":"","title":"My review in video","content":"Discover my explanatory videos on incontinence in women and men."}]},"_links":{"self":[{"href":"https:\/\/www.haab-urologie.fr\/en\/wp-json\/wp\/v2\/expertise\/4430","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.haab-urologie.fr\/en\/wp-json\/wp\/v2\/expertise"}],"about":[{"href":"https:\/\/www.haab-urologie.fr\/en\/wp-json\/wp\/v2\/types\/expertise"}],"version-history":[{"count":1,"href":"https:\/\/www.haab-urologie.fr\/en\/wp-json\/wp\/v2\/expertise\/4430\/revisions"}],"predecessor-version":[{"id":4459,"href":"https:\/\/www.haab-urologie.fr\/en\/wp-json\/wp\/v2\/expertise\/4430\/revisions\/4459"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.haab-urologie.fr\/en\/wp-json\/wp\/v2\/media\/4515"}],"wp:attachment":[{"href":"https:\/\/www.haab-urologie.fr\/en\/wp-json\/wp\/v2\/media?parent=4430"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}