Extraurethral (non-circumferential) retropubic adjustable compression devices for stress urinary incontinence in women

The procedure

Extraurethral (non-circumferential) retropubic adjustable compression devices aim to reduce the risk of urinary leakage in women with stress urinary incontinence. The procedure can be done with local, regional or general anaesthetic. It involves placing 2 small silicone balloons under the bladder, through a cut in the skin behind the vagina. The balloons are placed on either side of the urethra (the tube that carries urine from the bladder). The balloons are filled with fluid and they support the bladder, reducing leaks but allowing the normal passage of urine.

Each balloon is attached to a soft, plastic tube with a rubber disc (port) on the end. The port is implanted below the skin near the vaginal opening. After the procedure, fluid can be added or removed from the balloons through these ports to get the best effect for the individual person. The balloons are meant to be permanent.