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"   Question I have been suffering from urinary stress incontinence since the birth of my first child, who was delivered in a posterior presentation with the help of ventouse after a long second stage.  I have had periurethral collagen implants injected on two occasions and have had advice/treatment from physiotherapists, but the problem is still present and my consultant has now advised me to have colposuspension surgery by laparoscopy.  What is the likelihood of this procedure providing complete cure? How does it compare with tension-free vaginal tape (TVT) in its effectiveness?  Also, I am a keen runner. Will continuing to run after I have recovered from the surgery affect the repair?   Answer Thank you for your question. I&amp;#039;m delighted that you have tried bladder neck injections using collagen, as this is an elegant and useful treatment for stress incontinence.  You have had this done on two occasions now along with treatment in the form of physiotherapy, but unfortunately both of these have a relatively low absolute cure rate, and now you need to progress to something more permanent and effective.  Colposuspension literally means &amp;#039;supporting the vagina&amp;#039;. The surgeon carefully dissects the bladder neck free from its attachments and then passes stitches through the supporting structures at the side.  These stitches are then tied to the ligament or to the bone itself on the inside of the pelvis. The operation is carried out through an incision in the abdomen along the bikini line and therefore does take a while to recover from.  The other type of procedure you mention is the tension free vaginal tape (TVT).  This is a vaginal operation performed as a day procedure that involves passing a sling under the urethra (the &amp;#039;waterpipe&amp;#039; from the bladder to the outside), and then stitching it to the abdominal wall.  The sling can be made of strips of material taken from another part of the body, such as the tummy muscle, or from artifical material such as teflon or gortex tape.  Both these procedures have a good long-term cure rate, but a common side effect of these types of surgery is short-lived obstruction where the woman has some problems emptying her bladder.  This can occur in up to 20 per cent of women, but usually merely needs retraining to learn how to overcome the problem.  It is important to always keep pelvic floor muscles strong after any such operation, so your running together with abdominal and pelvic floor exercises will stand you in good stead. Yours sincerely The NetDoctor Medical Team  Other Qs &amp;amp;amp; As After I have been out drinking I wet the bed Bedwetting is ruining my relationship Beer makes me wet the bed I leak urine when I dance or exercise I wet the bed I\u2019m depressed about being overweight and wetting the bed Incontinence cure question Incontinence due to horseshoe kidney? Leaking urine My seven-year-old daughter still wets the bed Urinary problems: when I have to go, I have to go now! Weak bladder Will collagen injections help bladder problem?  Last updated 24.09.2014 "^^<http://www.w3.org/2001/XMLSchema#string>
<http://www.netdoctor.co.uk/ask-the-expert/liver-kidney-and-urinary-system/a2946/should-i-opt-for-colposuspension-or-tension-free-vaginal-tape/>