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Stress Urinary Incontinence (SUI) Treatment in Gomti Nagar Extension, Lucknow – Swastik Urology Clinic
Swastik Urology Clinic specialises in the diagnosis and management of Stress Urinary Incontinence (SUI) — involuntary urine leakage with exertion. Under the care of Dr. Aditya Sengar (Urologist), we provide a stepwise, evidence-based approach: conservative pelvic floor rehabilitation, pessary support when appropriate, and surgical options including mid-urethral sling, autologous fascial sling and urethral bulking for individualised, durable continence restoration.
What is Stress Urinary Incontinence?
Stress urinary incontinence is the involuntary loss of urine occurring at times of increased
intra-abdominal pressure — for example when coughing, sneezing, laughing, lifting or exercising.
It results from intrinsic sphincter deficiency and/or poor pelvic support. Accurate assessment
of severity and contributory factors is essential before selecting therapy.
Common Symptoms of SUI
Small to large volume urine leaks during effort, physical activity or sudden movements.
Patients often report leakage during exercise, coughing, sneezing or when rising from a chair.
Symptoms are typically reproducible on examination.
Risk Factors
Vaginal childbirth, advanced age, obesity, chronic cough, pelvic surgery, menopause and
connective tissue weakness are common risk factors. Men may develop SUI after prostate surgery.
Clinical Evaluation for SUI
A thorough evaluation determines the dominant mechanism and guides treatment:
• Detailed history and voiding diary to characterise leakage.
• Physical and pelvic examination with cough stress test to confirm SUI.
• Pad-weight test to quantify leakage severity.
• Urine analysis to exclude infection.
• Bladder ultrasound for post-void residual measurement.
• Urodynamic testing (pressure-flow studies) when mixed symptoms, prior surgery or complex scenarios are present.
• Detailed history and voiding diary to characterise leakage.
• Physical and pelvic examination with cough stress test to confirm SUI.
• Pad-weight test to quantify leakage severity.
• Urine analysis to exclude infection.
• Bladder ultrasound for post-void residual measurement.
• Urodynamic testing (pressure-flow studies) when mixed symptoms, prior surgery or complex scenarios are present.
Why Choose Swastik Urology Clinic for SUI Treatment?
Swastik Urology Clinic offers comprehensive SUI care:
• Specialist Evaluation by Dr. Aditya Sengar
Expertise in both conservative and surgical continence therapies for women and men.
• Multidisciplinary Pelvic Floor Rehabilitation
Supervised pelvic physiotherapy, biofeedback and individualized home programs to strengthen pelvic support.
• Range of Surgical Options
Minimally invasive mid-urethral slings, autologous fascial slings, urethral bulking agents and tailored reconstructions for complex cases.
• Individualised Treatment Plans
Selection of therapy based on severity, patient anatomy, comorbidities and patient preference.
• Specialist Evaluation by Dr. Aditya Sengar
Expertise in both conservative and surgical continence therapies for women and men.
• Multidisciplinary Pelvic Floor Rehabilitation
Supervised pelvic physiotherapy, biofeedback and individualized home programs to strengthen pelvic support.
• Range of Surgical Options
Minimally invasive mid-urethral slings, autologous fascial slings, urethral bulking agents and tailored reconstructions for complex cases.
• Individualised Treatment Plans
Selection of therapy based on severity, patient anatomy, comorbidities and patient preference.
Stress Urinary Incontinence Treatment Options at Swastik Urology Clinic
Treatment is stratified from conservative to surgical interventions:
1. Conservative & Supportive Measures
• Pelvic floor muscle training (PFMT) with supervised physiotherapy
• Weight reduction, smoking cessation and cough control
• Continence pessaries for women seeking non-surgical support
2. Urethral Bulking Agents
• Office-based injection of bulking material into the urethral submucosa to improve coaptation
• Suitable for patients with mild intrinsic sphincter deficiency or those unfit for surgery
3. Mid-Urethral Sling (MUS)
• Tension-free vaginal tape (retropubic) or transobturator sling techniques
• Minimally invasive with high success rates for female SUI
4. Autologous Fascial Sling
• Uses patient’s own fascia to create a durable urethral support
• Considered in recurrent SUI or where synthetic material is contraindicated
5. Male Post-Prostatectomy SUI Management
• Adjustable slings, male slings or artificial urinary sphincter (AUS) implantation for significant sphincter deficiency after prostate surgery
6. Reconstructive Options for Complex Cases
• Urethral reconstruction, combined procedures for pelvic organ prolapse correction with continence repair
Each option is discussed with the patient including expected outcomes, recovery time and potential complications.
1. Conservative & Supportive Measures
• Pelvic floor muscle training (PFMT) with supervised physiotherapy
• Weight reduction, smoking cessation and cough control
• Continence pessaries for women seeking non-surgical support
2. Urethral Bulking Agents
• Office-based injection of bulking material into the urethral submucosa to improve coaptation
• Suitable for patients with mild intrinsic sphincter deficiency or those unfit for surgery
3. Mid-Urethral Sling (MUS)
• Tension-free vaginal tape (retropubic) or transobturator sling techniques
• Minimally invasive with high success rates for female SUI
4. Autologous Fascial Sling
• Uses patient’s own fascia to create a durable urethral support
• Considered in recurrent SUI or where synthetic material is contraindicated
5. Male Post-Prostatectomy SUI Management
• Adjustable slings, male slings or artificial urinary sphincter (AUS) implantation for significant sphincter deficiency after prostate surgery
6. Reconstructive Options for Complex Cases
• Urethral reconstruction, combined procedures for pelvic organ prolapse correction with continence repair
Each option is discussed with the patient including expected outcomes, recovery time and potential complications.
When should I consult a specialist for stress incontinence?
Seek specialist evaluation if leaks interfere with daily activities, exercise, sexual function or when conservative measures (PFMT, lifestyle changes) fail after a reasonable trial (6–12 weeks). Early assessment helps preserve options and improve outcomes.
Is mid-urethral sling appropriate for all women with SUI?
Mid-urethral slings are appropriate for many women with uncomplicated SUI. Patient selection is important — factors such as pelvic organ prolapse, prior surgery, intrinsic sphincter deficiency and patient preference influence the choice of procedure.
What are the risks of sling surgery?
Risks include urinary retention, mesh exposure or erosion (rare), de novo urgency, pain and infection. Thorough preoperative assessment and correct surgical technique minimise complications.
How soon can I return to normal activity after sling surgery?
Many patients resume light activities within a few days and normal activities including exercise after 4–6 weeks depending on the procedure and surgeon’s advice. Strenuous lifting should be avoided during the healing period.