During surgery, your doctor’s main goal will be to provide your urethra and bladder with more support so that they do not open accidentally and cause leakage.

• Sling surgery: This is the most common type of surgery performed in women with stress incontinence. This includes making a cut in your abdomen and vagina to place a sling (usually made of a person’s tissue, synthetic material, an animal’s or a donor’s tissue) to support your urethra, which restricts urine leakage due to sudden forceful activities. In men, the sling is placed around the part of the urethral bulb. 
• Colposuspension: In this procedure, the sutures attached to ligaments along the pubic bone are used to lift the neck of the bladder and stitch it in its lifting position. This supports the urethra and stops it from accidentally leaking the urine. It takes a long time to recover from this surgery and also has many complications.
• Artificial sphincter: This treatment method is used to treat men with stress incontinence. The urinary sphincter prevents the urine from flowing from the bladder to the urethra. The artificial urinary sphincter is filled with fluids that keep the urethra closed, preventing leakage at all times. However, if the device stops working in the future, you will need further surgery to remove it. 
• Vaginal mesh surgery: In this surgery, a strip of synthetic mesh is inserted behind the urethra to provide more support. This synthetic mesh will stay in your body permanently. It is advisable to select a specific surgery type only after discussing the options thoroughly with your doctor, as surgery may bring complications. 
• Urethral bulking agents: This is a substance injected into the tissues of the urethra, which increases the size of urethral walls and improves their closing ability. The effect of this injection may fade away after some time, and you will need to get another injection.