Anti-incontinence surgery can be performed under anaesthesia or near spinal anaesthesia. The surgery is performed with the legs raised, in the so-called lithotomy position.
In the first step, a catheter is inserted into the bladder to drain the urine. Then, under the urethral opening, approx. a 2cm incision is made on the anterior vaginal wall. A passage is made on both sides of the urethra to the obturator foramen (oval or irregular triangular opening in the hip bone) on the pubic bone.
Then, in the crotch, approx. a 1–5 mm skin incision is made 2–3 cm above the urinary meatus, and then a special skewer is inserted from the outside through this skin incision to pierce the membrane of the obturator foramen. The skewer is lead between the bladder and the vagina until the end of the skewer is pushed out at the vaginal wall incision.
The end of the tissue-friendly plastic tape, which has been developed for this purpose, is then fastened to the end of the skewer and the tape is pulled in with the skewer, the end of which is outside the skin in the crotch. This operation is performed on both the right and left sides.