A 60 year old female presents to the clinic with complaints of involuntary passage of urine while coughing or during physical strain. Which of the following is the definitive treatment of choice in this patient?
Surgery is the definitive management of stress incontinence. It is a sling procedure with a piece of fascia attached to the rectus muscle or os pubis and surrounding the urethra at the bladder neck.
Exercise
Bladder neck repair
Colpo suspension
Ureter reimplantation