Dr. Margolis is a national leader in performing what many consider the gold standard procedure for STRESS URINARY INCONTINENCE, the laparoscopic Burch colposuspension.
Dr. Margolis’ long-term success rate with laparoscopic Burch exceeds 90% with an enviably low complication rate.
In cases such as elderly women or those whose medical comorbidities favor a less invasive surgical procedure, Dr. Margolis uses organic slings to help restore the normal anatomic relationship of the bladder and urethra.
Dr. Margolis does not and has never used polypropylene vaginal mesh (aka synthetic mesh).
Stres Urinary Incontinence FAQ
What is stress urinary incontinence?
Stress urinary incontinence (SUI) refers to involuntary urinary leakage with increased abdominal pressure for example laughing, coughing, sneezing, or heavy lifting. SUI is an extremely common problem that impacts many women’s quality of life. The most common risk factors for SUI are age and childbirth. When conservative measures such as Kegel exercises or a pessary are unsuccessful or undesirable for patients, surgical management can often improve or even resolve SUI symptoms.
How common is stress urinary incontinence?
Stress urinary incontinence is very common – affecting more than 15% of adult women. It is very likely that you know women who experience SUI, even if they do not discuss it in public.
What are my options for treatment of stress urinary incontinence?
Treatment options begin with conservative measures such as behavioral adjustment and avoiding dietary triggers. Avoiding caffeinated beverages and drinking 60-80 ounces of water daily are good places to start. Additional options include Kegel exercises/physical therapy, medications, pessary support devices or surgical management if indicated. Depending on the nature of the incontinence and medical co-morbidities, surgical options may include laparoscopic retropubic urethropexy (laparoscopic Burch), or organic slings.