Urinary incontinence is a common and often embarrassing situation that affects millions of women.  Often aging and childbirth may worsen this problem, however, many women find that they have incontinence without any of these risk factors.   The first step in finding a solution to this problem is to discuss incontinence with either Dr. Imtiaz or her nurse practitioner.  She will then order tests to determine the type of incontinence you may have and help you determine a treatment plan.  If you have stress incontinence, she may recommend surgery of this. Dr. Imtiaz has included a brief description of surgery for stress incontinence below.  She has advanced training is female urinary incontinence and performs a number of these procedures.

Midurethral slings are newer procedures that you can have on an outpatient basis. These procedures use synthetic mesh materials that Dr. Imtiaz places midway along the urethra. The two general types of midurethral slings are retropubic slings, such as the transvaginal tapes (TVT), and transobturator slings (TOT).  She makes small incisions behind the pubic bone or just by the sides of the vaginal opening as well as a small incision in the vagina. Specially designed needles are used to position a synthetic tape under the urethra. The ends of the tape are then pulled through the incisions and are adjusted to provide the right amount of support to the urethra.

Figure 4. Side view. Supporting sutures in place following retropubic or transvaginal suspension (left). Sling in place, secured to the pubic bone (center). The ends of the transobturator tape supporting the urethra are pulled through incisions in the groin to achieve the right amount of support (right). The tape ends are removed when the incisions are closed.