Treatment for SUI includes pelvic floor physical therapy or mid-urethral sling (TVT). Pelvic floor physical therapy is a good option for women with new onset or mild SUI. TVT is the gold standard of treatment for stress urinary incontinence.
Testing often times includes urodynamics. During urodynamics, a tiny catheter is used to slowly fill the bladder with warm water. Pressure in the urethra and bladder is measured continuously during urodynamics. The muscle strength of the pelvic floor is also measured continuously. As the bladder fills and empties, these measurements are used to identify the cause of incontinence and aid in deciding what treatment is optimal.Urodynamics is performed before surgery to ensure normal bladder function and to determine appropriate tensioning of the mid-urethral sling.